| NPI | 1598289217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER N HAINEY Credentialing Supervisor 614-544-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-08-30 |