Dr. Clark Edwin Childers Jr.
M.D. | Pediatrics | Male
Dr. Clark Edwin Childers Jr., M.D. is a South Charleston, West Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Clark Edwin Childers Jr. is
4607 Maccorkle Ave Sw, Mp Ste 204, South Charleston, West Virginia - 25309-1364. He can be contacted on phone at
304-767-7930 and fax number 304-767-7935.
Dr. Clark Edwin Childers Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Clark Edwin Childers Jr. is
1184793150 which was assigned by NPPES on 06 Nov, 2006 and it was last updated on 08 Jul, 2007.
Dr. Clark Edwin Childers Jr. license number is
18115 for Pediatrics (208000000X) in West Virginia.
Dr. Clark Edwin Childers Jr. 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:
Dr. Clark Edwin Childers Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Clark Edwin Childers Jr. |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Clark Edwin Childers Jr. 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 |
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| Phone Number : | 304-767-7930 |
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| Fax Number : | 304-767-7935 |
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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 : | 1184793150 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Nov, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Dr. Clark Edwin Childers Jr. are as mentioned. Primary taxonomy code for Dr. Clark Edwin Childers Jr., M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 18115 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Clark Edwin Childers Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0109655000 | MEDICAID | WV | |
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 |
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| Phone Number : | 304-767-7930 |
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| Fax Number : | 304-767-7935 |
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Business Location:
Patients can refer following map for directions to
Dr. Clark Edwin Childers Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.