| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1699017954 | HAMMOND | TRAVIS | WILLIAM | 3110 MACCORKLE AVE SE | CHARLESTON | WV | 253041210 | |
| 1508132960 | MADER | JASON | PALMER | 3110 MACCORKLE AVE SE | CHARLESTON | WV | 253041210 | |
| 1548722051 | TOBIN | EDWARD | CHARLES | 3200 MACCORKLE AVE SE FL 4 | CHARLESTON | WV | 253041297 |