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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