OrganizationActive
Fairmont Neurology Clinic, PLLC
NPI 1609974641 · Neurology Physician · Morgantown, WV
Provider details
- NPI number
- 1609974641
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouhannad Azzouz, Owner(304) 598-7000
- License
- WV20408 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1188 Pineview Dr Ste 100
Morgantown, WV 26505-2712
Phone: (681) 285-8755
Fax: (304) 825-6577
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 333
Pursglove, WV 26546-0333
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2024-05-31
- Certified
- 2024-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.