South Charleston Pediatrics in Charleston - Pediatrics

South Charleston Pediatrics - NPI 1639251036

South Charleston Pediatrics is a Pediatrics in Charleston, . South Charleston Pediatrics practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for South Charleston Pediatrics is 1639251036. The last update date is 2022-07-21.

South Charleston Pediatrics's current location address is 830 Pennsylvania Avenue, Charleston, . You can contact this provider via phone number 3049827031 and fax number 3047669450. The mailing address for South Charleston Pediatrics is 830 Pennsylvania Avenue, Charleston, . To know further, please read the information below!

Provider Profile Detail

Provider Organization South Charleston Pediatrics
Address 830 Pennsylvania Avenue, Charleston,
Phone Number 3049827031
Fax Number 3047669450
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Fisher Jennifer
Telephone Number 3049827334

NPI Number Detail

NPI Number 1639251036
Provider Enumeration Date 2006-10-19
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 830 Pennsylvania Avenue
City Charleston
State (WV)
Post Code 25302
Phone Number 3049827031
Fax Number 3047669450

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4005199000 WV --

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FAQs about South Charleston Pediatrics

What is the South Charleston Pediatrics's unique identification number?

The South Charleston Pediatrics has been assigned the NPI (National Provider Identifier) Number 1639251036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where South Charleston Pediatrics's facilities are situated?

The facilities of South Charleston Pediatrics are physically located at the following address: 830 Pennsylvania Avenue, Charleston, WV, 25302.

What is South Charleston Pediatrics's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for South Charleston Pediatrics is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639251036 to South Charleston Pediatrics?

The Centers for Medicare & Medicaid Services originally issued the 1639251036 to South Charleston Pediatrics on 2006-10-19.

When was the South Charleston Pediatrics's information last updated?

The South Charleston Pediatrics's information was last updated on 2022-07-21.

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