NPI | 1104483189 |
---|---|
Entity Type | Organization |
Authorized Contact | JEWEL H SONGO Pa C/Partner 614-743-5513 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2019-05-24 |
Last Update Date | 2020-05-05 |