| NPI | 1639356058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOTTA RAY EVANS Owner 304-872-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 15805) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |