Organization · Type 2 NPI
Mountain Grace Women's Wellness Center LLC
Adult Medicine Physician · Fairmont, WV
NPI number
1326953969
Active
Practice location
201 Merchant St Ste 1
Fairmont, WV 26554-4042
Mailing address
354 Harbor Dr
Morgantown, WV 26508-9227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in Fairmont
About NPI 1326953969
Mountain Grace Women's Wellness Center LLC's National Provider Identifier is 1326953969, issued on Aug 18, 2026. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Fairmont, WV. The record was last updated on Aug 18, 2026.