NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1760892020 | COOK | BENJAMIN | CHARLES |   | 5430 MACCORKLE AVE SE | CHARLESTON | WV | 253042224 |
1588947097 | DOLAN | ASHLEY | MARIE |   | 5430 MACCORKLE AVE SE | CHARLESTON | WV | 253042224 |
1568832996 | MUELLER | ASHLEY |   |   | 5430 MACCORKLE AVE SE | CHARLESTON | WV | 253042224 |
1629359534 | SAUNDERS | CARLA |   |   | 5430 MACCORKLE AVE SE | CHARLESTON | WV | 253042224 |