Organization
CHARLESTON AREA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN LYNN BACCHUS C-FNP (APRN-BC) (NURSE PRACTITIONER)
(304) 388-4973
Entity
Organization
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 202, CHARLESTON, WV 25304-1223
(304) 388-4973
(304) 388-4968
Mailing address
132 RIVERVIEW DR, TORNADO, WV 25202-9716
(304) 388-4973
(304) 388-4968
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
41107
WV
Other
Enumeration date
04/24/2007
Last updated
09/10/2009
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