Wvupc-Camc Medical Staff
Family Medicine in Charleston, WV. Organization (NPI-2).
NPI number1851544530
StatusActive
Last updated in NPPESOct 28, 2008
Details
- NPI
- 1851544530
- Entity type
- Organization (NPI-2)
- Legal business name
- Wvupc-Camc Medical Staff
- Organization subpart
- Yes
- Enumeration date
- Oct 28, 2008
- Last updated
- Oct 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
3100 Maccorkle AveCharleston, WV 25304-1223
Phone 304-347-1333
Mailing address
Po Box 7000Morgantown, WV 26507-7000
Phone 304-293-7401 · Fax 304-293-6963
Authorized official
Robyn M McDaniel
Provider Relations
3042935033
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