Provider Demographics
NPI:1932409307
Name:WEST VIRGINIA VEIN AND SKIN CENTERS
Entity Type:Organization
Organization Name:WEST VIRGINIA VEIN AND SKIN CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:W
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-252-3900
Mailing Address - Street 1:4130 ROBERT C BYRD DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-2206
Mailing Address - Country:US
Mailing Address - Phone:304-252-3900
Mailing Address - Fax:304-252-9311
Practice Address - Street 1:4522 MACCORKLE AVE SE
Practice Address - Street 2:SUITE 5
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1840
Practice Address - Country:US
Practice Address - Phone:304-926-1001
Practice Address - Fax:304-926-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty