Individual
MRS. ASHLEY EBERSOLE MELLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 POPLAR ST STE 204, SOUTH CHARLESTON, WV 25309-1472
(304) 414-2895
(304) 414-2898
Mailing address
4605 MACCORKLE AVE SW, THS PHYSICIAN PARTNERS, INC. ADMINISTRATIVE OFC., SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
(304) 414-4801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1994
WV
Other
Enumeration date
07/14/2016
Last updated
12/30/2021
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