IndividualActive
Mark Javins, PA-C
NPI 1780112557 · Surgical Physician Assistant · South Charleston, WV
Provider details
- NPI number
- 1780112557
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 778 (WV)
Practice location
610 Chestnut St
South Charleston, WV 25309-1251
Phone: (304) 767-7790
Fax: (304) 767-7566
Mailing address
4605 Maccorkle Avenue, Sw
South Charleston, WV 25309
Registry dates
- Enumerated
- 2017-05-24
- Last updated
- 2021-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.