South Harrison Family Medicine
South Harrison Family Medicine is a Family Medicine Physician in Lost Creek, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.
- Licensed in
- WV
- In the registry since
- 2006
Practice location Address checks out
2324 Hawk HwyLost Creek, WV 26385-9707
Phone: (304) 745-3200
Fax: (304) 745-4068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 15551 (WV) |
|---|
Record details
| NPI number | 1922197573 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jo Longenecker — President · (304) 745-3200 |
| NPI enumerated | October 12, 2006 |
| Last updated in NPPES | December 5, 2011 |
| Mailing address | 2324 Hawk Highway, Lost Creek, WV 26385-9707 |