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Shelley Amber Gaum, PA-C
Medical Physician Assistant in South Charleston, West Virginia
NPI 1720396872

Shelley Amber Gaum is a Medical Physician Assistant based in Charleston, WV and is specialized in Medical. Shelley Amber Gaum practices in South Charleston, WV and has the professional credentials of PA-C. The NPI Number for Shelley Amber Gaum is 1720396872 and holds a License No. 01513 (West Virginia).

The current practice location address for Shelley Amber Gaum is 401 Division St Ste 306, South Charleston, WV and can be reached out via phone at 304-766-4300 and via fax at 304-766-5474. You can also correspond with Shelley Amber Gaum through the mailing address at PO BOX 3466, CHARLESTON, WV - 25334-3466 (mailing address contact number: 888-239-8370).

Location: 401 Division St Ste 306, South Charleston, WV, 25334-3466
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Provider Profile Details
NPI Number
1720396872
Provider Name
Shelley Amber Gaum
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
401 Division St Ste 306, South Charleston, WV, 25334-3466
Phone Number
304-766-4300
Fax Number
304-766-5474
Provider Enumeration Date
09/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720396872 05 WV
institution
Provider Business Practice Location Address Details
Address
401 Division St Ste 306
City
State
Zip
25309-1455
Phone Number
304-766-4300
Fax Number
304-766-5474
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Provider Business Mailing Address Details
Address
Po Box 3466
City
State
Zip
25334-3466
Phone Number
888-239-8370
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01513 (West Virginia)
Definition
Definition to come...
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