| NPI | 1144423864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PERRY Administration 304-797-6359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2011-08-23 |