person
Timothy Douglas, PA-C
Medical Physician Assistant in South Charleston, West Virginia
NPI 1841603529

Timothy Douglas is a Medical Physician Assistant based in South Charleston, WV and is specialized in Medical. Timothy Douglas practices in South Charleston, WV and has the professional credentials of PA-C. The NPI Number for Timothy Douglas is 1841603529 and holds a License No. (West Virginia).

The current practice location address for Timothy Douglas is 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV and can be reached out via phone at 304-925-7546 and via fax at 681-205-8369.

Location: 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV, 25309-1513
person
Provider Profile Details
NPI Number
1841603529
Provider Name
Timothy Douglas
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4202 Mccorkle Ave Sw Ste 200, South Charleston, WV, 25309-1513
Phone Number
304-925-7546
Fax Number
681-205-8369
Provider Enumeration Date
06/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4202 Mccorkle Ave Sw Ste 200
City
State
Zip
25309-1513
Phone Number
304-925-7546
Fax Number
681-205-8369
person
Provider Business Mailing Address Details
Address
4202 Mccorkle Ave Sw Ste 200
City
State
Zip
25309-1513
Phone Number
304-925-7546
Fax Number
681-205-8369
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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