NPI | 1659544989 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLYN SUE SCROGGINS Medical Assistant 330-648-9060 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: OH OH35079345S) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |