Organization · Type 2 NPI

Charleston Neurology Assc Inc

Addiction Medicine (Psychiatry & Neurology) Physician · Charleston, WV

NPI number 1730360918 Active

Practice location

5303 Maccorkle Ave SE Ste A
Charleston, WV 25304-2221

Fax (304) 345-1183

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone 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.