Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTH CHARLESTON DERMATOLOGY PLLC
Active OrganizationSOUTH CHARLESTON DERMATOLOGY PLLC is a Dermatology organization located in SOUTH CHARLESTON, West Virginia. NPI 1174604409 is currently active in the NPPES registry. Verify at CMS.
Dermatology · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1174604409
- Provider Type
- Organization
- NPI Issued
- Oct 17, 2006 (19.855529481577 yrs)
- Last Updated
- Dec 12, 2011
- License
-
2097 (WV)
Practice Information
- Address
-
4815 KANAWHA AVE SWSOUTH CHARLESTON, WV, 253091207Browse WV providers · Browse ZIP 25309
- Phone
- 3047684567
- Fax
- 3047682277
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Organizations in SOUTH CHARLESTON, WV
| Name | NPI |
|---|---|
| CENTER FOR DERMATOLOGY & SKIN CARE, INC. | 1356424667 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.