Individual
DR. JACOB MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 MACCORKLE AVE SE STE 700, CHARLESTON, WV 25304-1230
(304) 351-1600
(304) 351-1604
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4068
WV
Other
Enumeration date
03/23/2018
Last updated
08/09/2023
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