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Search › West Virginia › 163W00000X

Sally Jacob

NPI 1699630392 · on the registry since 2025

Practice

Address
3200 Maccorkle Ave Se
Charleston, WV 25304
Phone
(304) 388-4168
Organisation at this address
Wvupc Medicine Clinic (Lab)
Wvupc-Camc Memorial Hospital
Charleston Area Medical Center
Charleston Area Medical Center
Charleston Area Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
538

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-16

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