City Of Washington Internal Medicine, L.l.c. | |
1450 Columbus Ave Suite 201 Washington Court House OH 43160-3701 | |
(740) 333-6463 | |
Not Available |
Full Name | City Of Washington Internal Medicine, L.l.c. |
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Speciality | Internal Medicine |
Location | 1450 Columbus Ave, Washington Court House, Ohio |
Authorized Official Name and Position | Mark W. Hodges (OWNER) |
Authorized Official Contact | 7403336463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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City Of Washington Internal Medicine, L.l.c. 1450 Columbus Ave Suite 201 Washington Court House OH 43160-3701 Ph: (740) 333-6463 | City Of Washington Internal Medicine, L.l.c. 1450 Columbus Ave Suite 201 Washington Court House OH 43160-3701 Ph: (740) 333-6463 |
NPI Number | 1780870097 |
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Provider Enumeration Date | 09/20/2007 |
Last Update Date | 03/18/2009 |
Identifier | Type | State | Issuer |
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1780870097 | NPI | - | NPPES |
2883018 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 35076874 (Ohio) | Primary |