| NPI | 1154409092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L YARBROUGH Physician President 304-529-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WV 10775) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-12-13 |