BRADDOCK MEDICAL GROUP P.A.

FORT ASHBY, WV
NPI1104962729
Other NameFORT ASHBY FAMILY PRACTICE
Entity TypeOrganization
Authorized ContactPAUL TAYLOR LIVENGOOD
Owner
304-298-3605
Organization Subpart ?Yes
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: WV  11172)
Enumeration Date2007-01-30
Last Update Date2016-11-01
Business Address
BRADDOCK MEDICAL GROUP P.A.
70 PRESIDENTS STREET UNIT 1150
FORT ASHBY, WV 26719-1150
Phone number: 304-298-3605
Mailing Address
BRADDOCK MEDICAL GROUP P.A.
70 PRESIDENTS STREET
FORT ASHBY, WV 26719-1150
Phone number: 304-298-3605