OrganizationActive
C. Edwin Childers, Jr., MD, PLLC
NPI 1841408978 · Pediatrics Physician · South Charleston, WV
Provider details
- NPI number
- 1841408978
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clark Childers, Physician(304) 767-7930
- License
- 18115 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4607 Maccorkle Ave Sw
Mp Ste 204
South Charleston, WV 25309-1364
Phone: (304) 767-7930
Fax: (304) 767-7935
Approximate (ZIP-level) locationGet directions
Mailing address
4607 Maccorkle Ave Sw
South Charleston, WV 25309-1364
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.