| NPI | 1477360584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A WELLS Senior Director Provider Support 304-597-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |