Organization · Type 2 NPI

West Virginia Dermatology and Skin Surgery Center

Medical Specialty Clinic/Center · South Charleston, WV

NPI number 1174881916 Active

Practice location

4202 Maccorkle Ave SW Ste 200
South Charleston, WV 25309-1513

Fax (681) 205-8369

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X2596 (WV)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1174881916

West Virginia Dermatology and Skin Surgery Center's National Provider Identifier is 1174881916, issued on Apr 30, 2012. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in South Charleston, WV. The record was last updated on Jan 6, 2020.