Capital City Pediatrics PLLC
Pediatrics in Charleston, WV. Organization (NPI-2).
NPI number1982132858
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982132858
- Entity type
- Organization (NPI-2)
- Legal business name
- Capital City Pediatrics PLLC
- Organization subpart
- No
- Enumeration date
- May 23, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | WV | Yes |
Practice location
1538 Kanawha Blvd ECharleston, WV 25311-2435
Phone 304-343-0030 · Fax 304-343-0053
Mailing address
1538 Kanawha Blvd ECharleston, WV 25311-2435
Phone 304-343-0030 · Fax 304-343-0053
Authorized official
Christy L Robinson
MD/Owner
3043430030
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