Individual
DR. CHARLES SCOTT MCCLUNG SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(304) 645-4103
Mailing address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(844) 479-4545
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1484
WV
207Q00000X
Family Medicine Physician
1484
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0784063
UNSPECIFIED
WV
05
—
5630417000
—
WV
Enumeration date
03/08/2006
Last updated
09/20/2022
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