| Charleston Neurology Assc Inc | |
|
5303 Maccorkle Ave Se Ste A Charleston WV 25304-2221 | |
| (304) 345-1181 | |
| (304) 345-1183 |
| Full Name | Charleston Neurology Assc Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 5303 Maccorkle Ave Se Ste A, Charleston, West Virginia |
| Authorized Official Name and Position | Kris G Murthy (PRESIDENT) |
| Authorized Official Contact | 3043451181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Neurology Assc Inc 5303 Maccorkle Ave Se Ste A Charleston WV 25304-2221 Ph: (304) 345-1181 | Charleston Neurology Assc Inc 5303 Maccorkle Ave Se Ste A Charleston WV 25304-2221 Ph: (304) 345-1181 |
| NPI Number | 1730360918 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730360918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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