Individual provider · Type 1 NPI

Shelley Amber Gaum, PA-C

Medical Physician Assistant · South Charleston, WV

NPI number 1720396872 Active

Practice location

401 Division St Ste 306
South Charleston, WV 25309-1455

Fax (304) 766-5474

Mailing address

PO Box 3466
Charleston, WV 25334-3466

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X01513 (WV)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1720396872

Shelley Amber Gaum, PA-C's National Provider Identifier is 1720396872, issued on Sep 22, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in South Charleston, WV. The record was last updated on Oct 5, 2023.