| NPI | 1770392490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHASTAIN Director Of Pe And Credentialing 330-323-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |