| NPI | 1932488939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL SHORT Physician/President 304-690-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WV 1982) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: WV 1982) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |