Individual
CHARLES THOMAS WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
1236 5TH AVE, HUNTINGTON, WV 25701-2207
(681) 204-5400
Mailing address
512 JEFFERSON AVE, HUNTINGTON, WV 25704-2620
(304) 962-6440
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-9100
WV
175T00000X
Peer Specialist
—
WV
Other
Enumeration date
05/09/2023
Last updated
01/10/2024
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