NPI | 1114691417 |
---|---|
Entity Type | Organization |
Authorized Contact | BILL DEMPSEY CEO 304-847-5682 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207P00000X Emergency Medicine |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
208M00000X Hospitalist | |
225100000X Physical Therapist | |
227800000X Respiratory Therapist, Certified | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-08-02 |
Last Update Date | 2024-05-07 |