Individual
AMY PLYMALE-JONES
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) 388-4170
Mailing address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00769
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718073
WV BCBS
WV
01
—
1069535
WV DWC
WV
Enumeration date
12/23/2005
Last updated
01/20/2017
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