| NPI | 1518733450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WADE President 304-252-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-01-31 |