| NPI | 1316646854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOHNSON Operations 614-604-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |