CENTRAL WV DERM ASSOC INC

BRIDGEPORT, WV
NPI1669583589
Entity TypeOrganization
Authorized ContactGEORGIA DAWN DANIEL
Chief Operating Officer
304-842-3494
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-08-31
Last Update Date2009-09-10
Business Address
CENTRAL WV DERM ASSOC INC
170 THOMPSON DR SUITE 200
BRIDGEPORT, WV 26330-2608
Phone number: 304-842-3494
Mailing Address
CENTRAL WV DERM ASSOC INC
PO BOX 4550
BRIDGEPORT, WV 26330-4550
Phone number: 304-842-3494
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