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Organization
CHARLES S. MCCLUNG SR., DO
Active
Organization
CHARLES S. MCCLUNG SR., DO
Active
Other names
McClung Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SCOTT MCCLUNG SR. D.O. (OWNER/PHYSICIAN)
(304) 647-9971
Entity
Organization
Contact information
Practice address
226 SKYLAR DR, LEWISBURG, WV 24901-9383
(304) 647-9971
(304) 647-9973
Mailing address
PO BOX 1849, LEWISBURG, WV 24901-4849
(304) 647-9971
(304) 647-9973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1484
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5630417000
—
WV
Enumeration date
10/24/2007
Last updated
08/11/2009
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