Individual
CAROL JOHNSON FRAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 200, CHARLESTON, WV 25302-3302
(304) 343-1863
(304) 344-1755
Mailing address
829 EDGEWOOD DR, CHARLESTON, WV 25302-2811
(304) 343-1863
(304) 344-1755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15140
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105170000
—
WV
Enumeration date
04/10/2006
Last updated
06/23/2011
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