NPI | 1154734465 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY L KNOX Office Manager 304-343-4177 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 12093) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 19845) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2015-01-07 |