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Clark Childers, M.D

NPI 1184793150 · on the registry since 2006 · sole proprietor

Practice

Address
4607 Maccorkle Ave Sw
Mp Ste 204
South Charleston, WV 25309
Phone
(304) 767-7930
Fax
(304) 767-7935
Organisation at this address
Womyn, Inc.
Gilbert Goliath Md Pllc
Bassam N Shamma, M.D., Pllc
Melissa N. Bacchus, Md, Pllc
Elizabeth L. Brown, Md, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia