Provider First Line Business Practice Location Address:
1530 NORWAY AVE - MILDRED MITCHEL BATEMAN HOSPITAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-525-7801
Provider Business Practice Location Address Fax Number:
304-523-5958
Provider Enumeration Date:
08/21/2018