| NPI | 1821720640 |
|---|---|
| Doing Business As | 304 HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | REBECCA CLAXTON Owner 304-223-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |