| NPI | 1922155217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CAMPBELL CFO 304-526-8914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 207R00000X Internal Medicine | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 261QU0200X Clinic/Center Urgent Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2018-05-24 |