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Contact Information

STANTON CARDIOLOGY CENTER, PLLC
4315 MACCORKLE AVE SE
CHARLESTON, WV25304-2503
 Phone: 304-926-8080
 Fax: 304-926-8083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for STANTON CARDIOLOGY CENTER PLLC · (Female)

NPI Number 1003908963
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2006
Last updated 11/01/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 12013
  • WV Medicaid 0087346001
  • WV Other DA4088 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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