person
Mrs. Stacy Annette Church, PA-C
Medical Physician Assistant in Charleston, West Virginia
NPI 1114930658

Stacy Annette Church is a Medical Physician Assistant based in Charleston, WV and is specialized in Medical. Stacy Annette Church practices in Charleston, WV and has the professional credentials of PA-C. The NPI Number for Stacy Annette Church is 1114930658 and holds a License No. 01163 (West Virginia).

The current practice location address for Stacy Annette Church is 3100 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-346-1141 and via fax at 304-346-1142. You can also correspond with Stacy Annette Church through the mailing address at 3100 MACCORKLE AVE SE, CHARLESTON, WV - 25304-1223 (mailing address contact number: 304-346-1141).

Location: 3100 Maccorkle Ave Se, Charleston, WV, 25304-1223
person
Provider Profile Details
NPI Number
1114930658
Provider Name
Stacy Annette Church
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3100 Maccorkle Ave Se, Charleston, WV, 25304-1223
Phone Number
304-346-1141
Fax Number
304-346-1142
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3100 Maccorkle Ave Se
City
State
Zip
25304-1223
Phone Number
304-346-1141
Fax Number
304-346-1142
person
Provider Business Mailing Address Details
Address
3100 Maccorkle Ave Se
City
State
Zip
25304-1223
Phone Number
304-346-1141
Fax Number
304-346-1142
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01163 (West Virginia)
Definition
Definition to come...
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