# CHARLESTON FAMILY PRACTICE GROUP

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

## Provider details

- **NPI number:** 1750310280
- **Authorized official:** MALCOLM L. CHANEY M.D. (PRESIDENT)
- **Authorized official phone:** (304) 342-8513

## Contact information

- **Practice address:** 1220 LEE ST E STE 201, CHARLESTON, WV 25301-1864
- **Practice address phone:** (304) 342-8513
- **Practice address fax:** (304) 342-8147
- **Mailing address:** 1220 LEE ST E STE 201, CHARLESTON, WV 25301-1864
- **Mailing address phone:** (304) 342-8513
- **Mailing address fax:** (304) 342-8147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11909 | WV | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 02/27/2020