| NPI | 1891756029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W AVERY Owner 304-422-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-10-12 |