NPI | 1215060587 |
---|---|
Doing Business As | SUBURBAN SOUTH FAMILY PHYSICIANS |
Entity Type | Organization |
Authorized Contact | DIANE K. WHETSELL Practice Manager 330-645-0153 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 0459803) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2010-03-25 |