| NPI | 1568513935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY WAYNE ADAMS Owner 304-736-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: WV 1799) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2015-06-05 |