Charleston Cardiology Group Pllc

NPI #1770558165 in Charleston, West Virginia

Provider Information

NPI Number
1770558165
Entity Type
Organization
Organization Name
Charleston Cardiology Group Pllc
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Feb 21, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
3100 MACCORKLE AVE
Address 2
SUITE 709
ZIP Code
25304-1223
Phone
(304) 342-1184

Authorized Official

Name
DONALD R LILLY, MD
Title
CHAIRMAN BOARD OF DIRECTORS
Phone
(304) 342-1184

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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