West Virginia Vein And Skin Centers | |
4522 Maccorkle Ave Se Suite 5 Charleston WV 25304-1840 | |
(304) 926-1001 | |
(304) 926-1003 |
Full Name | West Virginia Vein And Skin Centers |
---|---|
Speciality | Internal Medicine |
Location | 4522 Maccorkle Ave Se, Charleston, West Virginia |
Authorized Official Name and Position | George Edward Lovegrove (OWNER) |
Authorized Official Contact | 3042523900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
West Virginia Vein And Skin Centers 4130 Robert C Byrd Dr Beckley WV 25801-2206 Ph: (304) 252-3900 | West Virginia Vein And Skin Centers 4522 Maccorkle Ave Se Suite 5 Charleston WV 25304-1840 Ph: (304) 926-1001 |
NPI Number | 1396941225 |
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Provider Enumeration Date | 06/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396941225 | NPI | - | NPPES |
3810002434 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11937 (West Virginia) | Primary |
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