Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES SOUTHERLY
Active Sole ProprietorCHARLES SOUTHERLY is a Community Health Worker healthcare provider located in PAW PAW, West Virginia. NPI 1275209488 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · PAW PAW, WV
Registration Details
- NPI Number
- 1275209488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2021 (4.8057338120147 yrs)
- Last Updated
- Aug 18, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1165 PIN OAK RDPAW PAW, WV, 254343252Browse WV providers · Browse ZIP 25434
- Phone
- 3048220390
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in PAW PAW, WV
| Name | Credential | NPI |
|---|---|---|
| DASHELLE CONARD | — | 1619569068 |
| TERRIE EVERSOLE | — | 1417540493 |
| TABITHA MORELAND | — | 1538747225 |
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.