IndividualActive
Amy Tickle, MD
NPI 1992921217 · Family Medicine Physician · Charleston, WV
Provider details
- NPI number
- 1992921217
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 23020 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3200 Maccorkle Ave Se
Suite 502
Charleston, WV 25304-1227
Phone: (304) 388-5848
Fax: (304) 388-9654
Approximate (ZIP-level) locationGet directions
Mailing address
104 Alex Ln
Charleston, WV 25304-2952
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-05-21
- Certified
- 2020-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.