CHESAPEAKE MEDICAL CENTER NPI 1316492200

NPI Information

CHESAPEAKE MEDICAL CENTER is a family nurse practitioner in Charleston, WV. CHESAPEAKE MEDICAL CENTER NPI is 1316492200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 35TH ST SE
SUITE 11
CHARLESTON, WV
ZIP 25304-352
Phone: (304) 720-9595
Fax: (304) 720-9596

The provider's authorized official is Marcie Reed .
The authorized official title is Practice Manager and has the following contact phone number (304) 720-9595.

The CLIA number assigned to this NPI record is 51D1023446 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2016 and was last updated on 8/20/2016.

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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