Organization
KANAWHA VALLEY GASTROENTEROLOGY ASSOCIATES, INC.
Active
Organization
KANAWHA VALLEY GASTROENTEROLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL ANN COX MD (PHYSICIAN, DIRECTOR, SECRETARY)
(304) 766-4342
Entity
Organization
Contact information
Practice address
4607 MACCORKLE AVE SW STE 406, SOUTH CHARLESTON, WV 25309-1364
(304) 766-4342
(304) 766-3541
Mailing address
4607 MACCORKLE AVE SW STE 406, SOUTH CHARLESTON, WV 25309-1364
(304) 766-4342
(304) 766-3541
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003017
—
WV
01
—
9353761
GROUP MEDICARE
WV
Enumeration date
10/20/2006
Last updated
04/29/2020
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