DR. Clark Edwin Childers JR., M.D.
NPI #1184793150 in South Charleston, West Virginia
Provider Information
- NPI Number
- 1184793150
- Entity Type
- Individual
- Name
- DR. Clark Edwin Childers JR., M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pediatrics
- Credential
- M.D.
- Enumeration Date
- Nov 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4607 MACCORKLE AVE SW
- Address 2
- MP STE 204
- City
- South Charleston
- State
- West Virginia
- ZIP Code
- 25309-1364
- Phone
- (304) 767-7930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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