| NPI | 1629731757 |
|---|---|
| Doing Business As | ONLINE DOCTOR OFFICE |
| Entity Type | Organization |
| Authorized Contact | TERRY LEWIS CIO 304-639-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |