| NPI | 1972833267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY F. ADDISON Managing Member 304-205-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WV 15775) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2019-02-20 |