Provider First Line Business Practice Location Address:
ROUTE 1 BOX 75-1
Provider Second Line Business Practice Location Address:
SALEM FAMILY MEDICINE
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26426-9604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-782-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/29/2009