| NPI | 1821555418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN JUSTICE President 304-536-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| 207QA0505X Family Medicine Adult Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |