Fayette County Board Of Education

Specialty details in registry · Fayetteville, WV

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At a glance

111 Fayette Ave, Fayetteville, WV 25840-1219

NPPES record updated Feb 27, 2008. Public records can lag behind changes at a practice.

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Practice location

111 Fayette Ave
Fayetteville, WV 25840-1219
Professional details: NPI, taxonomy & registry record
NPI1760651483
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251300000X
Enumeration date
Feb 27, 2008
Record updated
Feb 27, 2008
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251300000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

111 Fayette Ave
Fayetteville, WV 25840-1219
Phone
(304) 574-1176
Mailing address
404 OLD MAIN DR

SUMMERSVILLE, WV 266511360
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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