IndividualActive
David Judy, D.O.
NPI 1619144433 · MOHS-Micrographic Surgery Physician · Charleston, WV
Provider details
- NPI number
- 1619144433
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2007-00740 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4610 Kanawha Ave Sw
Suite 302
Charleston, WV 25309-1320
Phone: (304) 925-7546
Fax: (681) 205-8369
Approximate (ZIP-level) locationGet directions
Mailing address
# L-3555
Columbus, OH 43260-0001
Registry dates
- Enumerated
- 2008-05-12
- Last updated
- 2014-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.