NPI 1184793150

Clark Edwin Childers, MD

Practitioner Pediatrics Physician South Charleston, WV

Practice location

Address: 4607 Maccorkle Ave SW Mp STE 204, South Charleston, WV 25309-1364
Phone: (304) 767-7930
Fax: (304) 767-7935

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 18115 (WV)

Other Pediatrics providers in West Virginia →

Registry record

NPI: 1184793150
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2006
Record last updated: 8 Jul 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.