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1750310280
CHARLESTON FAMILY PRACTICE GROUP
CHARLESTON, WV
NPI
1750310280
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Entity Type
Organization
Authorized Contact
MALCOLM L. CHANEY
President
304-342-8513
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 11909)
Enumeration Date
2006-06-30
Last Update Date
2020-02-27
Business Address
CHARLESTON FAMILY PRACTICE GROUP
1220 LEE ST E STE 201
CHARLESTON, WV 25301-1864
Phone number: 304-342-8513
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Mailing Address
CHARLESTON FAMILY PRACTICE GROUP
1220 LEE ST E STE 201
CHARLESTON, WV 25301-1864
Phone number: 304-342-8513
Copy
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