| NPI | 1013331396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT THOMAS Phsician/Owner 304-788-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 21506) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 57703) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2015-05-05 |