NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1316330624 |   |   |   | SAMS EAST INC | 702 SW 8TH ST | BENTONVILLE | AR | 727160445 |
1912517368 | ELLIOTT | MARY |   |   | 11 OVERLOOK DR | BRIDGEPORT | WV | 263301021 |
1669089090 | MOORE | PATRICK |   |   | 200 EMILY DR | CLARKSBURG | WV | 263015500 |
1043964299 | SHROUT | CAMERON | ALLEN |   | 200 EMILY DR | CLARKSBURG | WV | 263015500 |
1134705585 | TERRY | BRANDON | L |   | 300 W MAIN ST #2548 | ABINGDON | VA | 242102548 |