NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1427480953 |   |   |   | SOUTH CHARLESTON FAMILY MEDICINE | 401 DIVISION ST | SOUTH CHARLESTON | WV | 253091455 |
1508253147 | CHADWELL | MARTIN | L |   | 3200 MACCORKLE AVE SE | CHARLESTON | WV | 253041227 |
1114286077 | MACEDO | MARK |   |   | 3186 S MARYLAND PKWY | LAS VEGAS | NV | 891091753 |