Search › West Virginia › 363AS0400X
Jory Gotham, PA-C
NPI 1528437357 · on the registry since 2015
Practice
- Address
- 4607 Maccorkle Ave Sw Ste 401
South Charleston, WV 25309 - Phone
- (304) 414-2120
- Organisation at this address
- Womyn, Inc.
Gilbert Goliath Md Pllc
Bassam N Shamma, M.D., Pllc
Melissa N. Bacchus, Md, Pllc
Elizabeth L. Brown, Md, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Additional practice sites
- 11924 Winfield Rd, Winfield, WV
- 4605 Maccorkle Ave Sw, South Charleston, WV
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia