CLEANSLATE MEDICAL GROUP OF OHIO LLC

COLUMBUS, OH
NPI1558800193
Entity TypeOrganization
Authorized ContactROBERT HUTCHISON
CFO
413-584-2173
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2017-02-15
Last Update Date2023-03-23
Business Address
CLEANSLATE MEDICAL GROUP OF OHIO LLC
4488 W BROAD ST STE 3
COLUMBUS, OH 43228-5610
Phone number: 146-453-1589
Mailing Address
CLEANSLATE MEDICAL GROUP OF OHIO LLC
8 CADILLAC DR STE 180
BRENTWOOD, TN 37027-5393
Phone number: 615-425-0220