| NPI | 1003001538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY S RATLIFF Billing Cordinator 740-616-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35056082) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2020-10-29 |