Organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION
Active
Other names
WVUPC Charleston Division (PAASGRP)
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY D MILLER (PROVIDER RELATIONS ANALYST)
(304) 293-5033
Entity
Organization
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 26507-7000
(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
207Q00000X
Family Medicine Physician
Primary
4002106000
WV
Other
Enumeration date
05/18/2007
Last updated
06/19/2008
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