| Kanawha Valley Gastroenterology Associates, Inc. | |
|
4607 Maccorkle Ave Sw Ste 406 South Charleston WV 25309-1364 | |
| (304) 766-4342 | |
| (304) 766-3541 |
| Full Name | Kanawha Valley Gastroenterology Associates, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4607 Maccorkle Ave Sw Ste 406, South Charleston, West Virginia |
| Authorized Official Name and Position | Cheryl Ann Cox (PHYSICIAN, DIRECTOR, SECRETARY) |
| Authorized Official Contact | 3047664342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanawha Valley Gastroenterology Associates, Inc. 4607 Maccorkle Ave Sw Ste 406 South Charleston WV 25309-1364 Ph: (304) 766-4342 | Kanawha Valley Gastroenterology Associates, Inc. 4607 Maccorkle Ave Sw Ste 406 South Charleston WV 25309-1364 Ph: (304) 766-4342 |
| NPI Number | 1851473508 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851473508 | NPI | - | NPPES |
| 3810003017 | Medicaid | WV | |
| 9353761 | Other | WV | GROUP MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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