institution
West Virginia Dermatology And Skin Surgery Center
Medical Specialty Clinic/Center in South Charleston, West Virginia
NPI 1174881916

West Virginia Dermatology And Skin Surgery Center is a Medical Specialty Clinic/Center based in South Charleston, WV and is specialized in Medical Specialty. West Virginia Dermatology And Skin Surgery Center practices in South Charleston, WV. The NPI Number for West Virginia Dermatology And Skin Surgery Center is 1174881916 and holds a License No. 2596 (West Virginia).

The current practice location address for West Virginia Dermatology And Skin Surgery Center is 4202 Maccorkle Ave Sw Ste 200, South Charleston, WV and can be reached out via phone at 304-925-7546 and via fax at 681-205-8369.

Location: 4202 Maccorkle Ave Sw Ste 200, South Charleston, WV, 25309-1513
institution
Provider Profile Details
NPI Number
1174881916
Provider Name
West Virginia Dermatology And Skin Surgery Center
Credential
Provider Entity Type
Organization
Address
4202 Maccorkle Ave Sw Ste 200, South Charleston, WV, 25309-1513
Phone Number
304-925-7546
Fax Number
681-205-8369
Provider Enumeration Date
04/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4202 Maccorkle Ave Sw Ste 200
City
State
Zip
25309-1513
Phone Number
304-925-7546
Fax Number
681-205-8369
person
Provider Business Mailing Address Details
Address
4202 Maccorkle Ave Sw Ste 200
City
State
Zip
25309-1513
Phone Number
304-925-7546
Fax Number
681-205-8369
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
2596 (West Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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