Individual
MR. GEORGE JASON CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
146 WILLIAMS DR, SPENCER, WV 25276-1826
(304) 927-1495
Mailing address
146 WILLIAMS DR, SPENCER, WV 25276-1826
(304) 927-1495
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
03/17/2015
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