Charleston Family Practice Group

NPI #1750310280 in Charleston, West Virginia

Provider Information

NPI Number
1750310280
Entity Type
Organization
Organization Name
Charleston Family Practice Group
Primary Specialty
Family Medicine
Enumeration Date
Jun 30, 2006
Last Updated
Feb 27, 2020

Practice Location

Address
1220 LEE ST E STE 201
ZIP Code
25301-1864
Phone
(304) 342-8513

Authorized Official

Name
MALCOLM L. CHANEY, M.D.
Title
PRESIDENT
Phone
(304) 342-8513

Specialties & Taxonomy Codes

Specialty
Family Medicine

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