Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLARK EDWIN CHILDERS JR., M.D.
Active Sole ProprietorPediatrics · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1184793150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.517270093606 yrs)
- Last Updated
- Jul 8, 2007
- License
-
18115 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4607 MACCORKLE AVE SWMP STE 204SOUTH CHARLESTON, WV, 253091364Browse WV providers · Browse ZIP 25309
- Phone
- 3047677930
- Fax
- 3047677935
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| GILBERT GOLIATH | M.D. | 1437155991 |
| SHARMILA MATCHESWALLA JONES | MD | 1316032360 |
| MELANIE ANNE WINNINGS | MD | 1053406017 |
| ALATHEIA FOSTER STICKLER | MD | 1821183849 |
| ERIC CRAYTON JONES | MD | 1720173784 |
| DR. KARA MICHELLE WHITE | DO | 1033291422 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.