MRS. Stacy Annette Church, PA-C
NPI #1114930658 in Charleston, West Virginia
Provider Information
- NPI Number
- 1114930658
- Entity Type
- Individual
- Name
- MRS. Stacy Annette Church, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Jun 21, 2011
Practice Location
- Address
- 3100 MACCORKLE AVE SE
- Address 2
- SUITE 610
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304-1223
- Phone
- (304) 346-1141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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