| NPI | 1922150044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M. MCGINNIS Owner 740-574-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34005660) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 02723) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 34005660) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-10-30 |