Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY DOUGLAS, PA-C
ActiveTIMOTHY DOUGLAS, PA-C is a Medical Physician Assistant healthcare provider located in SOUTH CHARLESTON, West Virginia. NPI 1841603529 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1841603529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2014 (11.995236587865 yrs)
- Last Updated
- Sep 30, 2020
Practice Information
- Address
-
4202 MCCORKLE AVE SW STE 200SOUTH CHARLESTON, WV, 253091513Browse WV providers · Browse ZIP 25309
- Phone
- 3049257546
- Fax
- 6812058369
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| MRS. BRANDY HUSS BOYD | PA-C | 1407850332 |
| KELLIE ANNE HANSEL | PA-C | 1952371320 |
| MR. ANTHONY B KNELL | PA | 1972609550 |
| CONNIE FAY DORFNER | PA-C | 1407006323 |
| SHELLEY AMBER GAUM | PA-C | 1720396872 |
| JACQUELINE ELIZABETH MCCARTY | PA-C | 1295017473 |
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.