NPI 1174479513

Charleston Medical Center, INC.

Organisation Otolaryngology Physician Fayetteville, WV

Practice location

Address: 211 W Maple Ave, Fayetteville, WV 25840-1445
Phone: (304) 900-5511

Authorised official

Name: Ginger Peters
Title: Payer Enrollment Representative
Phone: (304) 388-0112

Registered specialties (3)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in West Virginia →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

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Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X

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Registry record

NPI: 1174479513
Entity type: Organization
NPI issued: 9 Mar 2026
Record last updated: 9 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.