| NPI | 1487178331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD R JONES President 304-344-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-03-15 |