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421 Home St Georgetown OH 45121-1407 | |
| (937) 378-7510 | |
| (937) 378-7513 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 421 Home St, Georgetown, Ohio |
| Authorized Official Name and Position | Michael C. Patterson (CEO) |
| Authorized Official Contact | 9373787501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
421 Home St Georgetown OH 45121-1407 Ph: (937) 378-7510 | 421 Home St Georgetown OH 45121-1407 Ph: (937) 378-7510 |
| NPI Number | 1851619860 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 05/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851619860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Donohoo Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5160 State Route 125, Georgetown, OH 45121 Phone: 937-213-1092 | |