MRS. STACY CHURCH, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1114930658

Practice Address

3100 MACCORKLE AVE SE
SUITE 610
Charleston, WV 25304

Phone: (304) 346-1141

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes 01163 (WV)

Frequently Asked Questions

NPI 1114930658 is the National Provider Identifier for MRS. STACY CHURCH, PA-C, a Physician Assistant - Medical provider located in Charleston, WV. This NPI was enumerated on August 15, 2006.
MRS. STACY CHURCH, PA-C practices at 3100 MACCORKLE AVE SE, SUITE 610, Charleston, WV 25304.

Quick Facts

NPI
1114930658
Type
Individual
Enumerated
Aug 15, 2006
Last Updated
Jun 21, 2011

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