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NPI Code Detail

MEDICARE: DUNBAR MEDICAL ASSOCIATES PLLC

MEDICARE: DUNBAR MEDICAL ASSOCIATES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2363A00000XPhysician Assistant
3363L00000XNurse Practitioner
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1437119963
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUNBAR MEDICAL ASSOCIATES PLLC
Provider Business Mailing Address
First Line : 1100 GROSSCUP AVE
Second Line :
City : DUNBAR
State : WV
Zip : 25064-3120
Country : US
Telephone Number : 304-768-8811
Fax Number : 304-768-4072
Provider Business Practice Location Address
First Line : 1100 GROSSCUP AVE
Second Line :
City : DUNBAR
State : WV
Zip : 25064-3120
Country : US
Telephone Number : 304-768-8811
Fax Number : 304-768-4072
Authorized Official
Title or Position : PHYSICIAN, PART-OWNER
Name : JOHN PRESTON LILLY JR.
Credential : MD
Telephone Number : 304-768-8811
Provider Enumeration Date : 03/27/2006
Last Update Date : 07/24/2025

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1144281585 — JOHN PRESTON LILLY JR. MD
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25064-3120
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1336556935 — ALLISON MARIE WISE MSN-FNP
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1811492499 — GREGORY A DARNELL MD
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Directions to “DUNBAR MEDICAL ASSOCIATES PLLC ” Practice Location

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