Organization
CHARLESTON DIGESTIVE DISEASE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLIVIA GARTON MBA (BILLING MANAGER)
(304) 932-7555
Entity
Organization
Contact information
Practice address
2335 CHESTERFIELD AVE, SUITE 103, CHARLESTON, WV 25304-1066
(304) 552-9037
(304) 935-4825
Mailing address
2335 CHESTERFIELD AVE, SUITE 103, CHARLESTON, WV 25304-1066
(304) 552-9037
(304) 935-4825
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20498
WV
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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