| NPI | 1437119963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PRESTON LILLY Physician, Part Owner 304-768-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-10-03 |