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Search › West Virginia › 172V00000X

Craig Jordan

NPI 1649184334 · on the registry since 2026 · sole proprietor

Practice

Address
511 Morris St
Charleston, WV 25301
Phone
(304) 341-0511
Organisation at this address
Fruth Pharmacy Inc
Genoa Healthcare Llc
Highland Behavioral Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-30

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