Provider Demographics
NPI:1902122740
Name:WEST VIRGINIA ENDOCRINOLOGY PLLC
Entity Type:Organization
Organization Name:WEST VIRGINIA ENDOCRINOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKAFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-925-0923
Mailing Address - Street 1:4922 MACCORKLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-2052
Mailing Address - Country:US
Mailing Address - Phone:304-925-0923
Mailing Address - Fax:304-925-0960
Practice Address - Street 1:4922 MACCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-2052
Practice Address - Country:US
Practice Address - Phone:304-925-0923
Practice Address - Fax:304-925-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV14717207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty