Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairmont Neurology Clinic, PLLC

Organization Neurology Physician · NPI 1609974641

Fairmont Neurology Clinic, PLLC is a Neurology Physician in Morgantown, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1188 Pineview Dr Ste 100
Morgantown, WV 26505-2712
Phone: (681) 285-8755
Fax: (304) 825-6577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence WV20408 (WV)

Record details

NPI number1609974641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouhannad Azzouz — Owner · (304) 598-7000
NPI enumeratedSeptember 21, 2006
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing addressPo Box 333, Pursglove, WV 26546-0333

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