| Advanced Family Medicine Llc | |
|
4160 Broadway Grove City OH 43123-3024 | |
| (614) 875-0079 | |
| Not Available |
| Full Name | Advanced Family Medicine Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4160 Broadway, Grove City, Ohio |
| Authorized Official Name and Position | James Cameron Johnson (OWNER) |
| Authorized Official Contact | 6148750079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Medicine Llc 4160 Broadway Grove City OH 43123-3024 Ph: (614) 875-0079 | Advanced Family Medicine Llc 4160 Broadway Grove City OH 43123-3024 Ph: (614) 875-0079 |
| NPI Number | 1346984242 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346984242 | NPI | - | NPPES |
| 01-8755 | Other | OH | OHIO DEPARTMENT MENTAL HEALTH AND SUBSTANCE ABUSE CERTIFICATION |
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