MRS. MICHELLE ENDICOTT, DO

Dermatology

Active Individual
NPI: 1699774315

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 1699774315 is the National Provider Identifier for MRS. MICHELLE ENDICOTT, DO, a Dermatology provider located in South Charleston, WV. This NPI was enumerated on July 14, 2005.
MRS. MICHELLE ENDICOTT, DO practices at 4815 KANAWHA AVE SW, South Charleston, WV 25309.

Quick Facts

NPI
1699774315
Type
Individual
Enumerated
Jul 14, 2005
Last Updated
Sep 11, 2012

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