| NPI | 1992457741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R CARSON President 304-900-2589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2024-03-13 |