Grand Central Family Medicine, P.l.l.c.
NPI #1891756029 in Parkersburg, West Virginia
Provider Information
- NPI Number
- 1891756029
- Entity Type
- Organization
- Organization Name
- Grand Central Family Medicine, P.l.l.c.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 29, 2006
- Last Updated
- Oct 12, 2007
Practice Location
- Address
- 418 GRAND PK DR
- Address 2
- SUITE 312
- City
- Parkersburg
- State
- West Virginia
- ZIP Code
- 26101-0000
- Phone
- (304) 422-3400
Authorized Official
- Name
- DAVID W AVERY, M.D.
- Title
- OWNER
- Phone
- (304) 422-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Family Medicine |
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