Dr MICHELLE LEIGH ENDICOTT MD is a female medical professional, specializing in Dermatology. She graduated in 2001 from West Virginia School Of Osteopathic Medicine.
SOUTH CHARLESTON DERMATOLOGY PLLC
4815 KANAWHA AVE SW
SOUTH CHARLESTON
WV
253091207
Tel: 3047684567
| Npi | 1699774315 |
| Pac Id | 2769410497 |
| Professional Enrollment Id | I20050805000839 |
| Last Name | ENDICOTT |
| First Name | MICHELLE |
| Middle Name | LEIGH |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | SOUTH CHARLESTON DERMATOLOGY PLLC |
| Group Practice Pac Id | 1456519610 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 4815 KANAWHA AVE SW |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 253091207 |
| Phone Number | 3047684567 |
| Hospital Affiliation Ccn 1 | 510029 |
| Hospital Affiliation Lbn 1 | THOMAS MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 510022 |
| Hospital Affiliation Lbn 2 | CHARLESTON AREA MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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