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NPI Code Detail

MEDICARE: SUMMERSVILLE UROLOGY ASSOCIATES, INC.

MEDICARE: SUMMERSVILLE UROLOGY ASSOCIATES, INC.
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
1208800000XUrology Physician14677WV

General Provider Information

NPI Number : 1447684006
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMERSVILLE UROLOGY ASSOCIATES, INC.
Provider Business Mailing Address
First Line : PO BOX 1049
Second Line :
City : LEWISBURG
State : WV
Zip : 24901-4049
Country : US
Telephone Number : 304-645-4043
Fax Number : 304-645-4713
Provider Business Practice Location Address
First Line : 315 FAIRVIEW HEIGHTS RD
Second Line : SUITE 200
City : SUMMERSVILLE
State : WV
Zip : 26651-1086
Country : US
Telephone Number : 304-872-8424
Fax Number : 304-883-2383
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID F MERIWETHER
Credential : M.D.
Telephone Number : 304-645-4043
Provider Enumeration Date : 08/30/2013
Last Update Date : 09/25/2013

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Directions to “SUMMERSVILLE UROLOGY ASSOCIATES, INC. ” Practice Location

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