Whalio Doctors

NPI 1013017011

Janet L Childers, PAC

Practitioner Medical Physician Assistant Clarksburg, WV

Practice location

Address
4 Hospital Plz, Clarksburg, WV 26301-9327
Phone
(304) 624-1966
Fax
(304) 293-6963
Mailing address
PO Box 897, Morgantown, WV 26507-0897

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 00514 (WV)

Registry record

NPI
1013017011
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Sep 2006
Record last updated
21 Nov 2007

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.