| |
129 Wenger Rd N, Suite A, Dalton, OH 44618-9056 | |
(330) 828-0123 | |
(330) 828-0702 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 129 Wenger Rd N, Dalton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407901275 | NPI | - | NPPES |
0251730 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 36002917 (Ohio) | Primary |
Provider Name | George M Kemper |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1871675009 PECOS PAC ID: 6002858685 Enrollment ID: I20050525000007 |
Mailing Address | Practice Location Address |
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129 Wenger Rd N, Suite A, Dalton, OH 44618-9056 Ph: (330) 828-0123 | 129 Wenger Rd N, Suite A, Dalton, OH 44618-9056 Ph: (330) 828-0123 |