| NPI | 1679929251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE NUNLEY Practice Manager 304-348-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-07-05 |