Provider First Line Business Practice Location Address:
3450 US ROUTE 60 E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARBOURSVILLE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25504-1609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-955-6300
Provider Business Practice Location Address Fax Number:
304-733-5903
Provider Enumeration Date:
06/14/2006