Individual
MRS. ASHLEY MARIE DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5430 MACCORKLE AVE SE, CHARLESTON, WV 25304-2224
(304) 925-3627
(304) 925-1163
Mailing address
5430 MACCORKLE AVE SE, CHARLESTON, WV 25304-2224
(304) 925-3627
(304) 925-1163
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01531
WV
363AM0700X
Medical Physician Assistant
630
WV
Other
Enumeration date
09/21/2011
Last updated
01/08/2014
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