Organization
CHARLESTON PSYCHIATRIC GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH SILAS SMITH JR. M.D. (PRESIDENT)
(304) 344-0349
Entity
Organization
Contact information
Practice address
1215 QUARRIER ST, CHARLESTON, WV 25301-1809
(304) 344-0349
(304) 344-0384
Mailing address
1215 QUARRIER ST, CHARLESTON, WV 25301-1809
(304) 344-0349
(304) 344-0384
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011908000
—
WV
Enumeration date
07/25/2006
Last updated
08/22/2020
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