Individual
JACQUELINE ELIZABETH MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4815 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1207
(304) 768-4567
(304) 768-2277
Mailing address
4815 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1207
(304) 545-8790
(304) 768-2277
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
544
WV
Other
Enumeration date
09/14/2011
Last updated
03/08/2023
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