| Charleston Digestive Disease, Inc. | |
|
2335 Chesterfield Ave Suite 103 Charleston WV 25304-1066 | |
| (304) 552-9037 | |
| (304) 935-4825 |
| Full Name | Charleston Digestive Disease, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2335 Chesterfield Ave, Charleston, West Virginia |
| Authorized Official Name and Position | Olivia Garton (BILLING MANAGER) |
| Authorized Official Contact | 3049327555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Digestive Disease, Inc. 2335 Chesterfield Ave Suite 103 Charleston WV 25304-1066 Ph: (304) 552-9037 | Charleston Digestive Disease, Inc. 2335 Chesterfield Ave Suite 103 Charleston WV 25304-1066 Ph: (304) 552-9037 |
| NPI Number | 1295169217 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 08/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295169217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 20498 (West Virginia) | Primary |
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