# SUMMERSVILLE PEDIATRICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700270436
- **Authorized official:** JOYCE MCCLUNG (OFFICE MANAGER)
- **Authorized official phone:** (304) 872-7063

## Contact information

- **Practice address:** 142 N COURT SQUARE, WEBSTER SPRINGS, WV 26288
- **Practice address phone:** (304) 872-7063
- **Practice address fax:** (304) 872-7080
- **Mailing address:** 400 FAIRVIEW HEIGHTS RD, SUITE 302, SUMMERSVILLE, WV 26651-9308
- **Mailing address phone:** (304) 872-7063
- **Mailing address fax:** (304) 872-7080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0200X | Pediatric Clinical Nurse Specialist | 40555 | WV | Yes |

## Other

- **Enumeration date:** 03/19/2015
- **Last updated:** 03/19/2015