| NPI | 1417139338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CAMERON JOHNSON Owner 614-875-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34007672J) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2012-08-31 |