NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1275063604 | BELL | AMBER | LOUISE |   | 97 GREAT TEAYS BLVD STE 6 | SCOTT DEPOT | WV | 255609816 |
1770597171 | CHATTIN | RONALD | D |   | 97 GREAT TEAYS BLVD STE 6 | SCOTT DEPOT | WV | 255609816 |
1982132866 | FRAZIER | SAMANTHA | JO |   | 515 MAIN ST | MADISON | WV | 251301417 |
1558531368 | KISH | TRENA |   |   | 97 GREAT TEAYS BLVD STE 6 | SCOTT DEPOT | WV | 255609816 |
1881079614 | TOWNSLEY | DEBORAH | L |   | 97 GREAT TEAYS BLVD | SCOTT DEPOT | WV | 255609815 |