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Individual

DR. SCOTT CONRAD JAMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
331 LAIDLEY ST., SUITE 301, CHARLESTON, WV 25339-3970
(304) 346-4400
(304) 346-0704
Mailing address
PO BOX 3970, CHARLESTON, WV 25301
(304) 346-4400
(304) 346-0704

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
22199
WV
207WX0107X
Retina Specialist (Ophthalmology) Physician
35093192
OH
208600000X
Surgery Physician
22199
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810020136
WV
Enumeration date
06/08/2007
Last updated
05/06/2021
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