| NPI | 1518834100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP Of Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |