| NPI | 1194167460 |
|---|---|
| Doing Business As | CARRIAGE DRIVE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CHARLES HUNT CEO 304-252-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2014-04-15 |