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Organization
JMC LLC
Active
Organization
JMC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON PETTRESS (CCM)
(304) 905-8797
Entity
Organization
Contact information
Practice address
800 HAZLETT AVE, WHEELING, WV 26003-6933
(304) 905-8797
Mailing address
800 HAZLETT AVE, WHEELING, WV 26003-6933
(304) 905-8797
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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