| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1811090954 | JERRY SKEENES | PO BOX 37 | ALUM CREEK | WV | 250030037 | |||
| 1275820391 | ANDERSON | WILLIAM | 1563 SAND PLANT ROAD | SOUTH CHARLESTON | WV | 253098278 | ||
| 1568981058 | SKEENES | JERRY | 1563 SAND PLANT RD | SOUTH CHARLESTON | WV | 253096120 |