| NPI | 1659625739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON HENRY COO 304-264-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207X00000X Orthopaedic Surgery | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207ZC0006X Pathology, Clinical Pathology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2017-12-01 |