| Carl Wayne Grody | |
|
5060 Bradenton Ave Suite B Dublin OH 43017-3511 | |
| (614) 889-6422 | |
| (614) 453-8863 |
| Full Name | Carl Wayne Grody |
|---|---|
| Speciality | Social Worker |
| Location | 5060 Bradenton Ave, Dublin, Ohio |
| Authorized Official Name and Position | Carl Wayne Grody (OWNER) |
| Authorized Official Contact | 6148896422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Wayne Grody 3982 Powell Rd Suite 271 Powell OH 43065-7662 Ph: (614) 889-6422 | Carl Wayne Grody 5060 Bradenton Ave Suite B Dublin OH 43017-3511 Ph: (614) 889-6422 |
| NPI Number | 1245540087 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245540087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | I 0900134 (Ohio) | Primary |
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