Provider First Line Business Practice Location Address:
3 HEALTH CARE DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILIPPI
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26416-0900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
300-445-7280
Provider Business Practice Location Address Fax Number:
304-457-4011
Provider Enumeration Date:
10/26/2016