Prestige Primary Care Associates, Pllc
Family Medicine · South Charleston, WV
At a glance
4501 Maccorkle Ave Sw, South Charleston, WV 25309-1444
NPPES record updated Oct 16, 2007. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
4501 Maccorkle Ave Sw Suite 301South Charleston, WV 25309-1444
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Family Medicine
- Taxonomy code
- 207Q00000X
- Enumeration date
- Mar 15, 2007
- Record updated
- Oct 16, 2007
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
207Q00000X · Primary
License reported: 1212 WV
207R00000X
License reported: 1390 WV
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4501 Maccorkle Ave SwSuite 301
South Charleston, WV 25309-1444
- Phone
- (304) 768-0700
- Fax
- (304) 768-9790
Mailing address
4501 MACCORKLE AVE SWSUITE 301
SOUTH CHARLESTON, WV 253091444
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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