Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Charleston Primary Care

Organization Family Medicine Physician · NPI 1689758476

South Charleston Primary Care is a Family Medicine Physician in South 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

312 6th Ave Ste 3
South Charleston, WV 25303-1242
Phone: (304) 744-4532
Fax: (304) 744-3219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10611 (WV)

Record details

NPI number1689758476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Coleman — Office Manager · (304) 744-4532
NPI enumeratedOctober 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address312 6th Ave, Suite 3, South Charleston, WV 25303-1242

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