| NPI | 1619038676 |
|---|---|
| Former Legal Business Name | KANAWHA SURGICENTER |
| Entity Type | Organization |
| Authorized Contact | GORLI HARISH Md 304-925-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WV 10453) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |