Individual
JORDAN CLAYPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
6113 COUNTRY CLUB DR # 6703, HUNTINGTON, WV 25705-2033
(304) 237-0613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3009
WV
Other
Enumeration date
01/10/2022
Last updated
09/30/2023
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