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Contact Information

MARK E JAVINS, PA-C
610 CHESTNUT ST
SOUTH CHARLESTON, WV25309-1251
 Phone: 304-767-7790
 Fax: 304-767-7566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARK E JAVINS · (Male)

NPI # 1780112557
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/24/2017
Last updated 12/23/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 778
Hospital affiliation(s)
  • THOMAS MEMORIAL HOSPITAL - (Acute Care)
    4605 MACCORKLE AVE SW
    SOUTH CHARLESTON, WV 25309
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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