Organization · Type 2 NPI
Potomac Integrative Health PLLC
Primary Care Clinic/Center · Shepherdstown, WV
NPI number
1639412398
Active
Practice location
51 Maddex Square Drive
Shepherdstown, WV 25443-4310
Mailing address
PO Box 1311, 51 Maddex Square Drive
Shepherdstown, WV 25443-1311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 21679 (WV) |
Primary Care Clinic/Center: Definition to come...
About NPI 1639412398
Potomac Integrative Health PLLC's National Provider Identifier is 1639412398, issued on Apr 1, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Shepherdstown, WV. The record was last updated on Apr 1, 2013.