Individual
MARK EDWARD JAVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
610 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-1251
(304) 767-7790
(304) 767-7566
Mailing address
4605 MACCORKLE AVENUE, SW, THS PHYSICIAN PARTNERS, INC.-ADMIN OFC, SOUTH CHARLESTON, WV 25309
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
778
WV
363AS0400X
Surgical Physician Assistant
Primary
778
WV
Other
Enumeration date
05/24/2017
Last updated
12/23/2021
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