| NPI | 1598147431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRANDON SMITH Owner 304-250-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WV 23171147) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2015-06-28 |