Gotham, Jory Christopher James
Gotham, Jory Christopher James is an individual health care provider with primary practice located at 4607 Maccorkle Ave Sw Ste 401 , South Charleston WV 25309-1364. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Gotham, Jory Christopher James can be contacted via phone (304) 414-2120.Contact Information
Primary practice address
4607 Maccorkle Ave Sw Ste 401
South Charleston WV 25309-1364
Phone: (304) 414-2120
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 819 | West Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 819 | West Virginia |
Profile Details
NPI number | 1528437357 |
---|---|
LBN Legal business name | Gotham, Jory Christopher James |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2015 |
Last updated | Dec 23rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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