| NPI | 1730383563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA DAWN DANIEL President 304-842-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 29466) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |