| NPI | 1538248133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY L MINCEY Medical Staff Assistant 304-927-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2025-09-11 |