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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

Family Medicine · SOUTH CHARLESTON, WV

Registration Details

NPI Number
1790819373
Provider Type
Organization
NPI Issued
Mar 15, 2007 (19.122156799399 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.