MR. JORY GOTHAM, PA-C

Physician Assistant - Surgical

Active Individual
NPI: 1528437357

Practice Address

4607 MACCORKLE AVE SW STE 401
South Charleston, WV 25309

Phone: (304) 414-2120

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No 819 (WV)
Physician Assistant - Surgical 363AS0400X Yes 819 (WV)

Frequently Asked Questions

NPI 1528437357 is the National Provider Identifier for MR. JORY GOTHAM, PA-C, a Physician Assistant - Surgical provider located in South Charleston, WV. This NPI was enumerated on September 22, 2015.
MR. JORY GOTHAM, PA-C practices at 4607 MACCORKLE AVE SW STE 401, South Charleston, WV 25309.

Quick Facts

NPI
1528437357
Type
Individual
Enumerated
Sep 22, 2015
Last Updated
Dec 23, 2021

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