| NPI | 1295943777 |
|---|---|
| Doing Business As | WVUPC CHARLESTON DIVISION (PAASGRP) |
| Entity Type | Organization |
| Authorized Contact | TERRY D MILLER Provider Relations Analyst 304-293-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 4002106000) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-19 |