| NPI | 1144031634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A WELLS Sr Director Of Prov Services 304-597-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |