Individual
JEFFREY MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6004
(304) 388-3360
Mailing address
1400 HOSPITAL DR, HURRICANE, WV 25526-9202
(304) 757-1700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29757
WV
207P00000X
Emergency Medicine Physician
35.137051
OH
Other
Enumeration date
03/21/2017
Last updated
08/31/2021
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