| NPI | 1194058446 |
|---|---|
| Other Name | SOUTH MAIN STREET MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M KOSTELNICK Practice Administrator 330-899-9350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2020-08-14 |