Provider Demographics
NPI:1942417381
Name:CHIANG, JESSICA C (DO)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:C
Last Name:CHIANG
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Gender:F
Credentials:DO
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Mailing Address - Street 1:415 MORRIS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1842
Mailing Address - Country:US
Mailing Address - Phone:304-388-7700
Mailing Address - Fax:304-388-7755
Practice Address - Street 1:415 MORRIS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1842
Practice Address - Country:US
Practice Address - Phone:304-388-7700
Practice Address - Fax:304-388-7755
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2015-08-24
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Provider Licenses
StateLicense IDTaxonomies
WV3021207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma