| NPI | 1801008073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERIC ADAIR HUMPHREY President 1740-374-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34002561H) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-06-17 |