C. Edwin Childers, Jr., Md, Pllc

Pediatrics

C. Edwin Childers, Jr., Md, Pllc is a South Charleston, West Virginia based Pediatric center with medical specialization in General Pediatrics. It is located at 4607 Maccorkle Ave Sw, Mp Ste 204, South Charleston, West Virginia - 25309-1364. They can be contacted on phone at 304-767-7930 and fax number 304-767-7935.
NPI number (Unique professional ID) for C. Edwin Childers, Jr., Md, Pllc is 1841408978 which was assigned by NPPES on 21 May, 2007 and it was last updated on 22 Aug, 2020. C. Edwin Childers, Jr., Md, Pllc license number is 18115 for Pediatrics (208000000X) in West Virginia.
C. Edwin Childers, Jr., Md, Pllc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
C. Edwin Childers, Jr., Md, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :C. Edwin Childers, Jr., Md, Pllc
Business Address:
C. Edwin Childers, Jr., Md, Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :4607 Maccorkle Ave Sw, Mp Ste 204
South Charleston, WV, 25309-1364
United States
Phone Number :304-767-7930
Fax Number :304-767-7935
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1841408978
NPI Entity Type : Organization
First Enrolment Date : 21 May, 2007
Last Updated On : 22 Aug, 2020
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Clarkedwin Childers
Authorized Official Credential :M.D.
Official Title or Position :PHYSICIAN
Phone Number :304-767-7930
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for C. Edwin Childers, Jr., Md, Pllc are as mentioned. Primary taxonomy code for C. Edwin Childers, Jr., Md, Pllc is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes18115WV
Legacy Identifiers:
Other legacy medical identifiers of C. Edwin Childers, Jr., Md, Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
0109655000MEDICAIDWV
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :4607 Maccorkle Ave Sw, Mp Ste 204
South Charleston, WV, 25309-1364
United States
Phone Number :304-767-7930
Fax Number :304-767-7935
Business Location:
Patients can refer following map for directions to C. Edwin Childers, Jr., Md, Pllc practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.