| NPI | 1003093212 |
|---|---|
| Other Name | FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GARY L. POLING Sole Proprietor 304-929-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV WV1221) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |