Provider First Line Business Practice Location Address:
ONE MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
RUBY MEMORIAL HOSPITAL - NICU
Provider Business Practice Location Address City Name:
MORGANTOWN
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26506-8110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-598-4140
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2011