Organization
WVUPC-CAMC WOUND CARE CENTER
Active
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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