South Charleston Pediatrics
South Charleston Pediatrics is a Clinical Medical Laboratory in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.
- Licensed in
- WV
- In the registry since
- 2006
Practice location Address checks out
4607 Maccorkle Ave SW Ste 400Charleston, WV 25309-1364
Phone: (304) 766-4400
Fax: (304) 766-4417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X (WV) |
|---|
Record details
| NPI number | 1962563593 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jamie Ray — Office Manager · (304) 766-4469 |
| NPI enumerated | December 13, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4607 Maccorkle Ave Sw, Ste 400, Charleston, WV 25309-1364 |
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