Organization
CHARLESTON OBSTETRICS AND GYNECOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON HUMPHREY (OFFICE MANAGER)
(304) 768-7770
Entity
Organization
Contact information
Practice address
4607 MACCORKLE AVE SW STE 201, SOUTH CHARLESTON, WV 25309-1364
(304) 768-7770
(304) 768-7772
Mailing address
4607 MACCORKLE AVE SW STE 201, SOUTH CHARLESTON, WV 25309-1364
(304) 768-7770
(304) 768-7772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19827
WV
Other
Enumeration date
07/19/2007
Last updated
02/11/2008
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