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DR. JESSICA MARIE MCCOLLEY D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1235367335

Individual Registrant:
DR. JESSICA MARIE MCCOLLEY D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 WARRIOR WAY  BELLE, WV 25015-1356 US
Tel: 304-949-3591  Fax: 304-949-3791

Contact information for business:
104 ALEX LN  CHARLESTON, WV 25304-2952 US
Tel: 304-734-2040  Fax: 304-734-2047

Registration Information:
NPI: 1235367335
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
WV2800

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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