| NPI | 1740599919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUARTEL-AYNE AMJAD Owner 304-252-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WV 24182) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2019-02-15 |