| NPI | 1679672505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE D STURTEVANT CEO 304-808-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 291U00000X Clinical Medical Laboratory (Licence: WV 51D0898849) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-07-21 |