Individual
DR. MICHAEL SHANE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
506 CHESTNUT STREET, SOUTH CHARLESTON, WV 25309-1402
(304) 766-8558
(304) 766-8561
Mailing address
4605 MACCORKLE AVE SW, THS PHYSICIAN PARTNERS, INC.-ADMIN OFC, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
(304) 414-4801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1255
WV
Other
Enumeration date
05/24/2005
Last updated
12/22/2021
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