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

Dr. Clark Edwin Childers Jr., MD

Individual provider Pediatrics Physician · NPI 1184793150

Dr. Clark Edwin Childers Jr., MD is a Pediatrics Physician in South Charleston, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4607 Maccorkle Ave SW Mp Ste 204
South Charleston, WV 25309-1364
Phone: (304) 767-7930
Fax: (304) 767-7935
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 18115 (WV)

Record details

NPI number1184793150
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 6, 2006
Last updated in NPPESJuly 8, 2007

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