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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRESTIGE PRIMARY CARE ASSOCIATES, PLLC

Active Organization

PRESTIGE PRIMARY CARE ASSOCIATES, PLLC is a Family Medicine organization located in SOUTH CHARLESTON, West Virginia. NPI 1790819373 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SOUTH CHARLESTON, WV

Registration Details

NPI Number
1790819373
Provider Type
Organization
NPI Issued
Mar 15, 2007 (19.417141812525 yrs)
Last Updated
Oct 16, 2007
Licenses
1390 (WV)
1212 (WV)

Practice Information

Address
4501 MACCORKLE AVE SW
SUITE 301
SOUTH CHARLESTON, WV, 253091444
Browse WV providers · Browse ZIP 25309
Phone
3047680700
Fax
3047689790
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.