| NPI | 1104559160 |
|---|---|
| Doing Business As | DR. LETITIA TIERNEY |
| Entity Type | Organization |
| Authorized Contact | LETITIA ELAINE TIERNEY Sole Member 304-344-2345 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-08-04 |