| NPI | 1851557284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LEE GHARIB Owner 304-720-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WV 23211) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2019-01-08 |