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1043967466
LEGACY FAMILY MEDICINE LLC
LOGAN, WV
NPI
1043967466
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Entity Type
Organization
Authorized Contact
WENDY WHITE
Credentialing Specialist
304-688-7027
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-03-05
Last Update Date
2022-03-05
Business Address
LEGACY FAMILY MEDICINE LLC
214 HANGING ROCK HWY
LOGAN, WV 25601-5102
Phone number: 304-784-4495
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Mailing Address
LEGACY FAMILY MEDICINE LLC
214 HANGING ROCK HWY
LOGAN, WV 25601-5102
Phone number: 304-784-4495
Copy
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