| NPI | 1265512537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L VANDERGRIFT President 304-366-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-10-25 |