| NPI | 1235219569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LEE MACFARLAND President Of Corporation 304-523-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 19790) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-07-21 |