Individual
DR. CLARK EDWIN CHILDERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4607 MACCORKLE AVE SW, MP STE 204, SOUTH CHARLESTON, WV 25309-1364
(304) 767-7930
(304) 767-7935
Mailing address
4607 MACCORKLE AVE SW, MP STE 204, SOUTH CHARLESTON, WV 25309-1364
(304) 767-7930
(304) 767-7935
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18115
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109655000
—
WV
Enumeration date
11/06/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us