| NPI | 1396769980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDEROCL CHARLES CARROLL President 740-397-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 80624) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |