Organization
SOUTH CHARLESTON CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN WAZIR RN (OFFICE MANAGER)
(304) 766-3688
Entity
Organization
Contact information
Practice address
428 DIVISION ST, SOUTH CHARLESTON, WV 25309-1469
(304) 766-3688
Mailing address
428 DIVISION ST, SOUTH CHARLESTON, WV 25309-1469
(304) 766-3688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001710722
MT. ST. BC
WV
05
—
0008983000
—
WV
Enumeration date
04/10/2007
Last updated
08/22/2020
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