NPI 1417390154

Fayette Medical Services PLLC

Organisation Urgent Care Clinic/Center Fayetteville, WV

Practice location

Address: 5447 Maple Ln STE B, Fayetteville, WV 25840-6872
Phone: (304) 574-6900
Fax: (304) 574-6922

Authorised official

Name: Deron John Hammack
Title: Owner
Phone: (304) 574-6900

Registered specialties

Urgent Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QU0200X Licence 2487 (WV)

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1417390154
Entity type: Organization
NPI issued: 11 Apr 2013
Record last updated: 11 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.