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Organization
ABC PEDIATRICS, PLLC
Active
Organization
ABC PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAY (OFFICE MANAGER)
(304) 388-2709
Entity
Organization
Contact information
Practice address
830 PENNSYLVANIA AVE, STE. 200, CHARLESTON, WV 25302-3302
(304) 388-2709
(304) 344-1755
Mailing address
830 PENNSYLVANIA AVE, STE. 200, CHARLESTON, WV 25302-3302
(304) 388-2709
(304) 344-1755
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
2474
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023323
—
WV
Enumeration date
02/25/2013
Last updated
02/25/2013
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