Individual
CHARITI PORTER STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
116 E 3RD AVE, RANSON, WV 25438-1641
(304) 724-7200
(304) 724-7280
Mailing address
220 CAMPUS BLVD STE 210, WINCHESTER, VA 22601-2889
(540) 536-5100
(340) 724-7280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01454
WV
Other
Enumeration date
03/17/2010
Last updated
02/07/2024
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