| NPI | 1619410693 |
|---|---|
| Other Name | SUMMERSVILLE UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBORAH KINCELL Revenue Cycle Director 304-883-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |