Organization · Type 2 NPI
Charleston Neurology Assc Inc
Addiction Medicine (Psychiatry & Neurology) Physician · Charleston, WV
Practice location
5303 Maccorkle Ave SE Ste A
Charleston, WV 25304-2221
Fax (304) 345-1183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1730360918
Charleston Neurology Assc Inc's National Provider Identifier is 1730360918, issued on Nov 16, 2007. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Charleston, WV. The record was last updated on Nov 16, 2007.