Individual
STEVEN C SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 COURTNEY DRIVE, CHARLESTON, WV 25304-1215
(304) 925-7600
(304) 925-5891
Mailing address
12 COURTNEY DRIVE, CHARLESTON, WV 25304-1215
(304) 925-7600
(304) 925-5891
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18206
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093015000
—
WV
Enumeration date
11/21/2006
Last updated
07/08/2007
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