NPI | 1992132740 |
---|---|
Doing Business As | MCMG WEDGEWOOD |
Entity Type | Organization |
Authorized Contact | DIANA HANCOCK Credentialing Coordinator 614-546-4621 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-10-10 |
Last Update Date | 2013-10-10 |