Organization · Type 2 NPI

Nicole Lackey Dillon, Md, Inc

Family Medicine Physician · Logan, WV

NPI number 1396092508 Active

Practice location

77 Hospital Dr, Doctors Park Suite D
Logan, WV 25601-3451

Call (304) 752-9290 Map

Mailing address

77 Hospital Dr Ste D
Logan, WV 25601-3451

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	21324 (WV)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

Other family medicine physician providers in Logan

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NPI record

NPI: 1396092508
Entity type: Organization (Type 2)
Issued: Aug 7, 2012
Last updated: Aug 18, 2022
Status: Active

Other names

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Grayson Family Medicine · doing business as
Grayson Family Medicine · doing business as

Authorized official

Dr. Nicole Lackey Dillon, MD
President
(304) 752-9290

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396092508

Nicole Lackey Dillon, Md, Inc's National Provider Identifier is 1396092508, issued on Aug 7, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Logan, WV. The record was last updated on Aug 18, 2022.