WV ASTHMA AND ALLERGY CENTERS, INC.
Osteopathic Medicine at Maccorkle Ave, Charleston, WV

License number
West Virginia 11875
Category
Osteopathic Medicine
Type
Allergy & Immunology
Owner
Name: MR. JIM A. MATHENA
Title: ADMINISTRATOR
Phone: (304) 343-4300
Address
Address
208 Maccorkle Ave SE, Charleston, WV 25314
National Provider ID: 1114005477
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WV ASTHMA & ALLERGY CENTERS, INC

Charleston, WV

Registration:
Aug 23, 2005
Addresses:
208 Mccorkle Ave SE, Charleston, WV (Physical)
208 Maccorkle Ave SE, Charleston, WV (Mailing)
5130 Mccorkle Ave SE, Charleston, WV 25304 (Physical)
Business type:
Corporation
Presidents:
Chandra M Kumar Md (Director), 208 Maccorkle Ave SE, Charleston, WV,Chandra M. Kumar Md (President), 208 Mccorkle Ave SE, Charleston, WV 25314

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