NPI | 1144747528 |
---|---|
Former Legal Business Name | SUSAN L CAVENDER M.D. |
Entity Type | Organization |
Authorized Contact | SUSAN L CAVENDER President 304-357-4512 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: WV 14497) |
Enumeration Date | 2017-08-25 |
Last Update Date | 2022-07-21 |