Search › West Virginia › 363A00000X
Taylor D'Etcheverry, PA-C
NPI 1669943890 · on the registry since 2018
Practice
- Address
- 3100 Maccorkle Ave Se Ste 101
Charleston, WV 25304 - Phone
- (304) 388-5395
- Organisation at this address
- Kar Md
Hamza W Shah Do
R Sampath Md Inc
Cmc Pharmacy, Llc
Cmc Pharmacy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 177
Additional practice sites
- 20560 Southport Landing Pl, Smithfield, VA
- 1200 J D Anderson Dr, Morgantown, WV
- 600 Gresham Dr Ste 8630b, Norfolk, VA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 2086S0102X
390200000X - Licence states on file
- WV, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia