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Contact Information

MARY LOU FRAGILE DO
RR 2 BOX 171C
GREYROCK PROF PARK
LEWISBURG, WV24901
 Phone: 304-647-3331
 Fax: 304-647-9799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARY LOU FRAGILE DO

NPI Number 1437184462
LBN Legal business name MARY LOU FRAGILE DO
Authorized official MARY LOU FRAGILE - (DO FAMILY PRACTICE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV Medicaid 2003958000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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