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Individual

BETH L JOLLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2030 THISTLE HILL DR STE 202, SPRING GROVE, PA 17362-1161
(717) 843-7348
(717) 771-5393
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD445463
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811156961
PA
Enumeration date
06/04/2008
Last updated
02/07/2024
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