MRS. Stacy Annette Church, PA-C is a medical physician assistant in Charleston, WV. MRS. Stacy Annette Church, PA-C NPI is 1114930658. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3100 MACCORKLE AVE SE
SUITE 610
CHARLESTON, WV
ZIP 25304-223
Phone: (304) 346-1141
Fax: (304) 346-1142
The NPI 1114930658 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/15/2006 and was last updated on 6/21/2011.