SOUTH CHARLESTON DERMATOLOGY PLLC

Dermatology

Active Organization
NPI: 1174604409

Practice Address

4815 KANAWHA AVE SW
South Charleston, WV 25309

Phone: (304) 768-4567

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 2097 (WV)

Frequently Asked Questions

NPI 1174604409 is the National Provider Identifier for SOUTH CHARLESTON DERMATOLOGY PLLC, a Dermatology provider located in South Charleston, WV. This NPI was enumerated on October 17, 2006.

Quick Facts

NPI
1174604409
Type
Organization
Enumerated
Oct 17, 2006
Last Updated
Dec 12, 2011

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