Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fairmont Neurology Clinic, PLLC

Organization Neurology Physician · NPI 1609974641

Fairmont Neurology Clinic, PLLC provides Neurology Physician services in Morgantown, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1188 Pineview Dr Ste 100
Morgantown, WV 26505-2712
Phone: (681) 285-8755
Fax: (304) 825-6577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence WV20408 (WV)

Record details

NPI number1609974641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouhannad Azzouz — Owner · (304) 598-7000
NPI enumeratedSeptember 21, 2006
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing addressPo Box 333, Pursglove, WV 26546-0333

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