Organization
CHARLESTON HEART SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA BETH LILLY (ADMINISTRATIVE ASSISTANT)
(304) 346-2284
Entity
Organization
Contact information
Practice address
2345 CHESTERFIELD AVE, SUITE 200, CHARLESTON, WV 25304-1062
(304) 346-2284
(304) 345-7745
Mailing address
2345 CHESTERFIELD AVE, SUITE 200, CHARLESTON, WV 25304-1062
(304) 346-2284
(304) 345-7745
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011167000
—
WV
Enumeration date
02/01/2007
Last updated
08/22/2020
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