# CHARLESTON NEUROLOGY ASSC INC

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

## Provider details

- **NPI number:** 1730360918
- **Authorized official:** DR. KRIS G MURTHY MD (PRESIDENT)
- **Authorized official phone:** (304) 345-1181

## Contact information

- **Practice address:** 5303 MACCORKLE AVE SE STE A, CHARLESTON, WV 25304-2221
- **Practice address phone:** (304) 345-1181
- **Practice address fax:** (304) 345-1183
- **Mailing address:** 5303 MACCORKLE AVE SE STE A, CHARLESTON, WV 25304-2221
- **Mailing address phone:** (304) 345-1181
- **Mailing address fax:** (304) 345-1183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 11/16/2007