Individual
JILL MCCLANAHAN JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6755
Mailing address
107 MCCLANAHAN WAY, POCA, WV 25159-8980
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
19305
WV
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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