NPI | 1881091940 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD T HOTT Sole Proprietor 304-359-2245 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 57763) |
Enumeration Date | 2014-12-04 |
Last Update Date | 2021-09-23 |