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NPI Code Detail

MEDICARE: WMC PHYSICIAN PRACTICES LLC

MEDICARE: WMC PHYSICIAN PRACTICES LLC
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
1208600000XSurgery Physician
2207RC0000XCardiovascular Disease Physician
3207T00000XNeurological Surgery Physician
4207VG0400XGynecology Physician
5207X00000XOrthopaedic Surgery Physician
6208000000XPediatrics Physician
7207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1518303288
Entity Type Code : Organization
Provider Name (Legal Business Name) : WMC PHYSICIAN PRACTICES LLC
Provider Business Mailing Address
First Line : 651 COLLIERS WAY # 300
Second Line :
City : WEIRTON
State : WV
Zip : 26062-5053
Country : US
Telephone Number : 304-797-6557
Fax Number : 304-797-6306
Provider Business Practice Location Address
First Line : 560 STEUBENVILLE PIKE
Second Line :
City : BURGETTSTOWN
State : PA
Zip : 15021-8539
Country : US
Telephone Number : 304-797-6557
Fax Number : 304-797-6306
Authorized Official
Title or Position : PROVIDER SUPPORT AND CREDENTIALING
Name : LINDA LEE MCKEEN
Credential :
Telephone Number : 304-797-6404
Provider Enumeration Date : 05/21/2013
Last Update Date : 03/18/2021

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Directions to “WMC PHYSICIAN PRACTICES LLC ” Practice Location

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