Individual
JODY ASBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-3974
Mailing address
3200 MACCORKLE AVENUE SE, EMERGENCY DEPARTMENT, CHARLESTON, WV 25304
(304) 388-4155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1159
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001780504
WV BCBS
WV
01
—
1069209
WV DWC
WV
Enumeration date
12/19/2005
Last updated
02/06/2017
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