Provider First Line Business Practice Location Address:
1400 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
CAMC TEAYS VALLEY HOSPITAL
Provider Business Practice Location Address City Name:
HURRICANE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-720-8816
Provider Business Practice Location Address Fax Number:
904-494-6467
Provider Enumeration Date:
04/19/2010