TIMOTHY DOUGLAS

SOUTH CHARLESTON, WV
NPI1841603529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2014-06-10
Last Update Date2020-09-30
Business Address
TIMOTHY DOUGLAS PA-C
4202 MCCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV 25309-1513
Phone number: 304-925-7546
Mailing Address
TIMOTHY DOUGLAS PA-C
4202 MCCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV 25309-1513
Phone number: 304-925-7546
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