Charleston Gastroenterology Associates
Internal Medicine, Gastroenterology in South Charleston, WV. Organization (NPI-2).
NPI number1952483802
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1952483802
- Entity type
- Organization (NPI-2)
- Legal business name
- Charleston Gastroenterology Associates
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Certification date
- Jun 29, 2023
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
401 Division St Ste 205South Charleston, WV 25309-1455
Phone 304-342-0821 · Fax 304-345-6679
Mailing address
401 Division St Ste 205South Charleston, WV 25309-1455
Phone 304-342-0821 · Fax 304-345-6679
Authorized official
Jeremy Ryan Stapleton
Partner
3043420821
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