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NPI Code Detail

MEDICARE: FAYETTE PHYICIANS NETWORK INC

MEDICARE: FAYETTE PHYICIANS NETWORK 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
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1558203216
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAYETTE PHYICIANS NETWORK INC
Provider Business Mailing Address
First Line : 100 PIN OAK LN
Second Line :
City : KEYSER
State : WV
Zip : 26726-5908
Country : US
Telephone Number : 304-597-3500
Fax Number :
Provider Business Practice Location Address
First Line : 100 PIN OAK LN
Second Line :
City : KEYSER
State : WV
Zip : 26726-5908
Country : US
Telephone Number : 304-597-3500
Fax Number :
Authorized Official
Title or Position : MANAGING EMPLOYEE
Name : JAMES JONES
Credential :
Telephone Number : 304-282-1611
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “FAYETTE PHYICIANS NETWORK INC ” Practice Location

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