| NPI | 1255213070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHASTAIN Director Of Credentialing And Pe 330-994-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |