Fairmont Medical Group, Inc.

NPI #1720224009 in Fairview, West Virginia

Provider Information

NPI Number
1720224009
Entity Type
Organization
Organization Name
Fairmont Medical Group, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
FAIRMONT MEDICAL GROUP, INC.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Dec 17, 2008
Last Updated
Dec 17, 2008

Practice Location

Address
400 MAIN STREET
ZIP Code
26570
Phone
(304) 367-8710

Authorized Official

Name
MS. NANCY L. VANDERGRIFT
Title
PRESIDENT
Phone
(304) 368-8740

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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