NPI | 1801500236 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY SUE CURRY Member/Admin 304-887-3530 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
Enumeration Date | 2023-01-10 |
Last Update Date | 2023-01-10 |