AMOS MART LANE

CHARLESTON, WV
NPI1114167335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WV  2476)
Enumeration Date2009-02-27
Last Update Date2017-05-09
Business Address
-- AMOS MART LANE D.O.
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304-1210
Phone number: 304-388-7170
Mailing Address
-- AMOS MART LANE D.O.
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304-1210
Phone number: 304-388-7170
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