| NPI | 1063244838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L WOODS Owner 740-632-5965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |