| NPI | 1801338850 |
|---|---|
| Doing Business As | SOUTHWAY |
| Entity Type | Organization |
| Authorized Contact | DEONNA DANIELLE DIAMOND Director Of Patient Accounts 304-766-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |