Individual
MR. CHARLES ANDREW HEISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 SUNCREST TOWNE CENTRE, SUITE 310, MORGANTOWN, WV 26505-1872
(304) 598-2200
(304) 599-2674
Mailing address
600 SUNCREST TOWNE CENTRE, SUITE 310, MORGANTOWN, WV 26505-1872
(304) 598-2200
(304) 599-2674
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10455
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127483000
—
WV
Enumeration date
12/29/2005
Last updated
01/20/2015
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