CHARLESTON INTERNAL MEDICINE INC NPI 1215311444

NPI Information

CHARLESTON INTERNAL MEDICINE, INC is a family nurse practitioner in Charleston, WV. CHARLESTON INTERNAL MEDICINE, INC NPI is 1215311444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3701 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-525
Phone: (304) 720-2345
Fax: (304) 720-2347

The provider's authorized official is Terry Coleman .
The authorized official title is Practice Administrator and has the following contact phone number (304) 720-2345.

The CLIA number assigned to this NPI record is 51D2151536 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 7/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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