Provider First Line Business Practice Location Address:
3840 PENNSYLVANIA AVE
Provider Second Line Business Practice Location Address:
WHITTINGTON & WHITTINGTON
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-342-0660
Provider Business Practice Location Address Fax Number:
304-344-5483
Provider Enumeration Date:
08/01/2006