Individual
PAUL MITCHELL CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 526-2200
(304) 526-2139
Mailing address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 526-2200
(304) 526-2139
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16627
WV
207Q00000X
Family Medicine Physician
16627
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080099030
MEDICARE-RR PROVIDER NUMBER
WV
Enumeration date
07/02/2007
Last updated
03/27/2012
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