Provider First Line Business Practice Location Address:
501 MORRIS ST
Provider Second Line Business Practice Location Address:
CAMC GENERAL HOSPITAL
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25301-1326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-388-6301
Provider Business Practice Location Address Fax Number:
304-388-7864
Provider Enumeration Date:
02/06/2007