| NPI | 1184617003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WAYNE HARRIS President 304-736-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-10-29 |