Individual
JESSICA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-9948
Mailing address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 372-2731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2482
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2009
Last updated
01/10/2021
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