Individual
JIMMY DOUMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
527 MEDICAL PARK DR STE 205, BRIDGEPORT, WV 26330
(681) 342-3730
(304) 842-9422
Mailing address
2673 DAVISSON RUN RD STE 303, CLARKSBURG, WV 26301-7640
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7603
KS
207RP1001X
Pulmonary Disease Physician
Primary
27914
WV
Other
Enumeration date
07/12/2011
Last updated
04/05/2022
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