Individual
JACK DOTY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5027 HELENA AVE, DELBARTON, WV 25670-1301
(304) 475-1761
(304) 475-1762
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1970
WV
Other
Enumeration date
02/10/2016
Last updated
12/09/2025
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