| NPI | 1972351260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GIBSON VP, Finance 304-598-4256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| 208800000X Urology | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |