| NPI | 1073600219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL D POWELL President 304-375-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207Q00000X Family Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2022-06-02 |