Individual
MR. JONATHON RAY BARBOSA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 CAMPUS DRIVE, VIENNA, WV 26105
(304) 865-6000
Mailing address
511 LAWMAN AVE, BRIDGEPORT, WV 26330-1216
(304) 838-6011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WV
Other
Enumeration date
05/29/2017
Last updated
05/29/2017
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