Advanced Family Medicine | |
4160 Broadway Grove City OH 43123-3024 | |
(614) 875-0079 | |
Not Available |
Full Name | Advanced Family Medicine |
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Speciality | Family Medicine |
Location | 4160 Broadway, Grove City, Ohio |
Authorized Official Name and Position | James Cameron Johnson (D.O.) |
Authorized Official Contact | 6148750079 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Family Medicine 4160 Broadway Grove City OH 43123-3024 Ph: (614) 875-0079 | Advanced Family Medicine 4160 Broadway Grove City OH 43123-3024 Ph: (614) 875-0079 |
NPI Number | 1851891279 |
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Provider Enumeration Date | 02/13/2018 |
Last Update Date | 01/27/2021 |
Certification Date | 01/27/2021 |
Medicare PECOS PAC ID | 5496776247 |
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Medicare Enrollment ID | O20051208000647 |
Identifier | Type | State | Issuer |
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1851891279 | NPI | - | NPPES |
Provider Name | James C Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972535094 PECOS PAC ID: 0446271159 Enrollment ID: I20090519000397 |
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