West Virginia University Medical Corporation Charleston Division
NPI #1295943777 in Charleston, West Virginia
Provider Information
- NPI Number
- 1295943777
- Entity Type
- Organization
- Organization Name
- West Virginia University Medical Corporation Charleston Division
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 18, 2007
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 3110 MACCORKLE AVE SE
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 26507-7000
- Phone
- (304) 293-5033
Authorized Official
- Name
- TERRY D MILLER
- Title
- PROVIDER RELATIONS ANALYST
- Phone
- (304) 293-5033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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