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NPI Profile for LONGEVITY CLINICAL LTC ASSOCIATES OF WEST VIRGINIA PLLC in FAIRMONT, WV.
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1467271809 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/03/2024 | |
| Last updated | 10/03/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LONGEVITY CLINICAL LTC ASSOCIATES OF WEST VIRGINIA, PLLC
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LONGEVITY CLINICAL LTC ASSOCIATES OF WEST VIRGINIA, PLLC