Provider First Line Business Practice Location Address:
3200 MACCORKLE AVE SE
Provider Second Line Business Practice Location Address:
CAMC FAMILY MEDICINE CENTER
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-768-3941
Provider Business Practice Location Address Fax Number:
304-766-4391
Provider Enumeration Date:
04/21/2015