| NPI | 1821180530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARL MERCER Owner/Practitioner 304-232-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WV 12007) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-01-04 |