PRESTIGE PRIMARY CARE ASSOCIATES, PLLC

Family Medicine

Active Organization
NPI: 1790819373

Practice Address

4501 MACCORKLE AVE SW
SUITE 301
South Charleston, WV 25309

Phone: (304) 768-0700

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No 1390 (WV)
Family Medicine 207Q00000X Yes 1212 (WV)

Frequently Asked Questions

NPI 1790819373 is the National Provider Identifier for PRESTIGE PRIMARY CARE ASSOCIATES, PLLC, a Family Medicine provider located in South Charleston, WV. This NPI was enumerated on March 15, 2007.

Quick Facts

NPI
1790819373
Type
Organization
Enumerated
Mar 15, 2007
Last Updated
Oct 16, 2007

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