OrganizationActive
West Virginia Dermatology and Skin Surgery Center
NPI 1174881916 · Medical Specialty Clinic/Center · South Charleston, WV
Provider details
- NPI number
- 1174881916
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Judy, Owner(304) 925-7546
- License
- 2596 (WV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4202 Maccorkle Ave Sw Ste 200
South Charleston, WV 25309-1513
Phone: (304) 925-7546
Fax: (681) 205-8369
Approximate (ZIP-level) locationGet directions
Mailing address
4202 Maccorkle Ave Sw Ste 200
South Charleston, WV 25309-1513
Other names (DBA / former)
- Other name
- West Virginia Dermatology
- Other name
- West Virginia Dermatology
Registry dates
- Enumerated
- 2012-04-30
- Last updated
- 2020-01-06
- Certified
- 2020-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.