Kanawha Surgicenter
NPI #1619038676 in Charleston, West Virginia
Provider Information
- NPI Number
- 1619038676
- Entity Type
- Organization
- Organization Name
- Kanawha Surgicenter
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4803 MACCORKLE AVE SE
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304-1948
- Phone
- (304) 925-6390
Authorized Official
- Name
- GORLI HARISH, MD
- Title
- MD
- Phone
- (304) 925-6390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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