WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION
Osteopathic Medicine at Maccorkle Ave, Charleston, WV

License number
West Virginia 3200990000
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: TERRY MILLER
Title: PROVIDER RELATIONS ANALYST
Phone: (304) 293-7401
Address
Address 2
3200 Maccorkle Ave SE CLIN D, Charleston, WV 25304
PO Box 7000, Morgantown, WV 26507
National Provider ID: 1194932590
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION CHARLESTON DIVISION

Charleston, WV

Registration:
Feb 15, 2001
Addresses:
3110 Maccorkle Ave SE, Charleston, WV 25304 (Physical)
3110 Maccorkle Ave, Charleston, WV 25304 (Physical)
Business type:
Corporation
Secretarys:
Cfo Jane Weise Haley (Director), 3110 Maccorkle Ave SE, Charleston, WV 25304,Michael J Lewis Md (Incorporator), 3110 Maccorkle Ave SE, Charleston, WV 25304,Jeffrey V Ashley (President), 3200 Maccorkle Ave SE, Charleston, WV 25304,...

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