National Provider Identifier Database

PRESTON MEMORIAL MEDICAL GROUP
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

PRESTON MEMORIAL MEDICAL GROUP
428 MORGANTOWN ST
KINGWOOD, WV26537-1093
Phone: 304-441-2010
Fax: 304-441-2042
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for PRESTON MEMORIAL MEDICAL GROUP

NPI Number 1932425790
Legal business name
LBN
PRESTON MEMORIAL MEDICAL GROUP
Authorized official MELISSA LOCKWOOD - (PRESIDENT AND CEO)
Entity Organization
Organization subpart No
Enumeration date 04/19/2010
Last updated 04/19/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PRESTON MEMORIAL MEDICAL GROUP

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