| NPI | 1205647773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A WELLS Sr Director Of Provider Services 304-597-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |