MR. Charles Wesley White

NPI #1275247124 in Fayetteville, West Virginia

Provider Information

NPI Number: 1275247124
Entity Type: Individual
Name: MR. Charles Wesley White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 5, 2023
Last Updated: Jul 2, 2025

Practice Location

Address: 113 DEERFIELD LN
City: Fayetteville
State: West Virginia
ZIP Code: 25840-6799
Phone: (304) 890-1167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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