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Organization

WVUPC-CAMC WOUND CARE CENTER

Active
Other names
WVU Physicians of Charleston
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY D MILLER (PROVIDER RELATIONS ANALYST)
(304) 293-5033
Entity
Organization

Contact information

Practice address
600 MORRIS ST, CHARLESTON, WV 25301-1409
(304) 347-1296
(304) 347-1394
Mailing address
P O BOX 7000, WVU PHYSICIANS OF CHARLESTON, MORGANTOWN, WV 26507-7000
(304) 293-7401

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00324349
WV BLUE SHIELD FACILITY ID
WV
05
4002106000
WV
Enumeration date
02/10/2011
Last updated
02/10/2011
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