Provider First Line Business Practice Location Address:
3201 ROUTE 60 EAST
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:
25705-2817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-523-4400
Provider Business Practice Location Address Fax Number:
304-523-4414
Provider Enumeration Date:
01/09/2007