| NPI | 1043258783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | N ED JONES Administrator 304-536-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-01-09 |