Organization
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION
Active
Other names
WVUPC Family Med Ctr of Chas (LAB)
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MILLER (PROVIDER RELATIONS ANALYST)
(304) 293-5033
Entity
Organization
Contact information
Practice address
1201 WASHINGTON ST E, SUITE 108, CHARLESTON, WV 25301-1834
(304) 293-5033
(304) 293-6963
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 293-5033
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
6705038000
WV
Other
Enumeration date
05/18/2007
Last updated
06/19/2008
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