Organization
CHARLES S. MCCLUNG SR., DO
Active
Other names
McClung Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SCOTT MCCLUNG SR. D.O. (OWNER/PHYSICIAN)
(304) 647-9971
Entity
Organization
Contact information
Practice address
226 SKYLAR DR, LEWISBURG, WV 24901-9383
(304) 647-9971
(304) 647-9973
Mailing address
PO BOX 1849, LEWISBURG, WV 24901-4849
(304) 647-9971
(304) 647-9973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1484
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5630417000
—
WV
Enumeration date
10/24/2007
Last updated
08/11/2009
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