Individual
JESSICA L MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 COURTNEY DR, CHARLESTON, WV 25304-2699
(304) 925-7600
(304) 925-5892
Mailing address
12 COURTNEY DR, CHARLESTON, WV 25304-2699
(304) 925-7600
(304) 925-5892
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25789
WV
Other
Enumeration date
05/04/2010
Last updated
10/07/2014
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