NPI 1841247368

Five Oaks Family Clinic, INC.

Organisation Primary Care Clinic/Center Fayetteville, WV

Practice location

Address: Rr 3 Box 458e, Fayetteville, WV 25840-9589
Phone: (304) 574-1888
Fax: (304) 574-1891

Authorised official

Name: Mark Douglas White
Title: President
Phone: (304) 574-1890

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 14161 (WV)

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1841247368
Entity type: Organization
NPI issued: 29 May 2006
Record last updated: 22 Aug 2020

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.