# JMC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437656741
- **Authorized official:** MR. JASON PETTRESS (CCM)
- **Authorized official phone:** (304) 905-8797

## Contact information

- **Practice address:** 800 HAZLETT AVE, WHEELING, WV 26003-6933
- **Practice address phone:** (304) 905-8797
- **Mailing address:** 800 HAZLETT AVE, WHEELING, WV 26003-6933
- **Mailing address phone:** (304) 905-8797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2018
- **Last updated:** 04/12/2018