Associated Family Practice, Inc

Organization Active NPI Family Medicine Physician · South Charleston, WV

NPI 1043376932 · NPPES record last updated Aug 4, 2015

Key facts

NPI
1043376932
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ASSOCIATED FAMILY PRACTICE, INC
Practice address
5220 Maccorkle Ave SW
South Charleston, WV 25309-1010
Phone
(304) 720-6735
Fax
(304) 720-6737
NPI assigned
Dec 28, 2006
Organization subpart
No

Authorized official

Name
Dr. D Duane Berry, DO
Title
Owner
Phone
(304) 720-6735

National Provider Directory

Locations

5220 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 720-6735

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

5220 Maccorkle Ave SW
South Charleston, WV 25309-1010

Mailing address

5220 Maccorkle Ave SW
S Charleston, WV 25309-1010
Phone (304) 720-6735

Other providers in South Charleston, WV

All providers in South Charleston, WV · Family Medicine Physician in West Virginia

Sources for this page

Verify at the official NPI Registry.