Individual provider · Type 1 NPI

Mark Edward Javins, PA-C

Surgical Physician Assistant · South Charleston, WV

NPI number 1780112557 Active

Practice location

610 Chestnut St
South Charleston, WV 25309-1251

Call (304) 767-7790 Map

Fax (304) 767-7566

Mailing address

4605 Maccorkle Avenue, SW, Ths Physician Partners, Inc.-Admin Ofc
South Charleston, WV 25309

Other practice locations

  • 4605 Maccorkle Ave SW, South Charleston, WV 25309-1311 · (304) 414-4800
  • 11924 Winfield Rd, Winfield, WV 25213-7913 · (304) 767-7995

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X778 (WV)
Surgical Physician Assistant Primary 363AS0400X778 (WV)

Surgical Physician Assistant: Definition to come...

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About NPI 1780112557

Mark Edward Javins, PA-C's National Provider Identifier is 1780112557, issued on May 24, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in South Charleston, WV. The record was last updated on Dec 23, 2021.