Provider First Line Business Practice Location Address:
1600 MEDICAL CENTER DR STE 3500
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:
25701-3655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-691-1300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2005