| Central Cincinnati Group Medical Practice | |
|
791 E Mcmillan St Cincinnati OH 45206-1943 | |
| (513) 751-2221 | |
| (513) 751-8804 |
| Full Name | Central Cincinnati Group Medical Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 791 E Mcmillan St, Cincinnati, Ohio |
| Authorized Official Name and Position | Charles O Dillard (PRESIDENT & CEO) |
| Authorized Official Contact | 5137512221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Cincinnati Group Medical Practice 791 E Mcmillan St Cincinnati OH 45206-1943 Ph: (513) 751-2221 | Central Cincinnati Group Medical Practice 791 E Mcmillan St Cincinnati OH 45206-1943 Ph: (513) 751-2221 |
| NPI Number | 1437293545 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437293545 | NPI | - | NPPES |
| 0980694 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-029778 (Ohio) | Primary |
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