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Organization

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION

Active
Other names
WVUPC Internal Medicine (PAASGRP)
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY MILLER (PROVIDER RELATIONS ANALYST)
(304) 293-7401
Entity
Organization

Contact information

Practice address
WVU F 3200 MACCORKLE AVE SE CLIN D, CHARLESTON, WV 25304-0000
(304) 293-5033
(304) 293-6963
Mailing address
P O BOX 7000, MORGANTOWN, WV 26507-7000
(304) 293-5033
(304) 293-6963

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3200990000
WV

Other

Enumeration date
05/16/2007
Last updated
06/20/2008
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