| Charleston Internal Medicine Inc | |
|
3701 Maccorkle Ave Se Charleston WV 25304-1525 | |
| (304) 720-2345 | |
| (304) 720-2347 |
| Full Name | Charleston Internal Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3701 Maccorkle Ave Se, Charleston, West Virginia |
| Authorized Official Name and Position | Roy Thomas Bowden (PRESIDENT AND OWNER) |
| Authorized Official Contact | 3047202345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Internal Medicine Inc 3701 Maccorkle Ave Se Charleston WV 25304-1525 Ph: (304) 720-2345 | Charleston Internal Medicine Inc 3701 Maccorkle Ave Se Charleston WV 25304-1525 Ph: (304) 720-2345 |
| NPI Number | 1033206263 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033206263 | NPI | - | NPPES |
| 3810004289 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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