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NPI 1669583589

OrganizationActive

Central Wv Derm Assoc Inc

NPI 1669583589 · Dermatology Physician · Bridgeport, WV

Provider details

NPI number: 1669583589
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Georgia Daniel, Chief Operating Officer

Practice location

170 Thompson Dr

Suite 200

Bridgeport, WV 26330-2608

Phone: (304) 842-3494

Fax: (304) 842-2339

More WV providers

Mailing address

Po Box 4550

Bridgeport, WV 26330-4550

Registry dates

Enumerated: 2006-08-31
Last updated: 2009-09-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Central Wv Derm Assoc Inc — NPI 1669583589, Bridgeport, WV | NPI Central