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 |