# SUSAN L CAVENDER M.D. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Susan L Cavender M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144747528
- **Authorized official:** DR. SUSAN L CAVENDER MD (PRESIDENT)
- **Authorized official phone:** (304) 357-4512

## Contact information

- **Practice address:** 1115 LEE ST E, CHARLESTON, WV 25301-2412
- **Practice address phone:** (304) 357-4512
- **Practice address fax:** (304) 357-4514
- **Mailing address:** 1115 LEE ST E, CHARLESTON, WV 25301-2412
- **Mailing address phone:** (304) 357-4512
- **Mailing address fax:** (304) 357-4514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 14497 | WV | Yes |

## Other

- **Enumeration date:** 08/25/2017
- **Last updated:** 07/21/2022