Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JORY CHRISTOPHER JAMES GOTHAM, PA-C
ActiveSurgical Physician Assistant · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1528437357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2015 (10.599177470276 yrs)
- Last Updated
- Dec 23, 2021
- Licenses
-
819 (WV)819 (WV)
Practice Information
- Address
-
4607 MACCORKLE AVE SW STE 401SOUTH CHARLESTON, WV, 253091364Browse WV providers · Browse ZIP 25309
- Phone
- 3044142120
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| KRISTINE K AGNEW | P.A.C. | 1639100266 |
| VICTORIA LEIGH TAKUBO | PA-C | 1194032227 |
| JUSTIN KIEL MEDLIN | PA-C | 1538437629 |
| JOHN WRIGHT | PA-C | 1467876623 |
| MR. GENO ANTHONY SANTANGELO JR. | P.A.-C | 1013331271 |
| TIMOTHY FORD | PA-C | 1750709226 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.