Healthcare Provider Details

I. General information

NPI: 1225502826
Provider Name (Legal Business Name): WEST VIRGINIA FERTILITY INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 11/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 WASHINGTON ST W STE 11
CHARLESTON WV
25302-2344
US

IV. Provider business mailing address

3821 FORRESTGATE DR
WINSTON SALEM NC
27103-2930
US

V. Phone/Fax

Practice location:
  • Phone: 336-448-9100
  • Fax: 336-778-7995
Mailing address:
  • Phone: 336-448-9100
  • Fax: 336-778-7995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: MEHMET TAMER YALCINKAYA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 336-448-9100