Individual
MS. CHARLA LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2115 CHAPLINE ST STE 105, WHEELING, WV 26003-3859
(304) 234-3410
(304) 234-8605
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18847WV
WV
207Q00000X
Family Medicine Physician
35071519
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048008000
—
WV
05
—
2044577
—
OH
Enumeration date
07/19/2006
Last updated
10/15/2015
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