Individual
ERNEST A BSHARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
(304) 414-4801
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3839
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00332
WV
Other
Enumeration date
01/27/2015
Last updated
11/10/2022
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