NPI | 1487849485 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA J LEWIS Owner/Physician 304-926-0172 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 18980) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2007-09-12 |