West Virginia Dermatology and Skin Surgery Center
West Virginia Dermatology and Skin Surgery Center is a Medical Specialty Clinic/Center in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2012.
- Licensed in
- WV
- In the registry since
- 2012
Practice location Address checks out
4202 Maccorkle Ave SW Ste 200South Charleston, WV 25309-1513
Phone: (304) 925-7546
Fax: (681) 205-8369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 2596 (WV) |
|---|
Record details
| NPI number | 1174881916 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Judy — Owner · (304) 925-7546 |
| Other names | West Virginia Dermatology; West Virginia Dermatology |
| NPI enumerated | April 30, 2012 |
| Last updated in NPPES | January 6, 2020 |
| Certification date | January 6, 2020 |
| Mailing address | 4202 Maccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 |
Other providers in South Charleston
-
Deborah L Klimek, MD, PLLC
24 Maccorkle Ave SW Ste 203, South Charleston, WV 25303-1476 · (304) 720-7001