| Doctors Family Practice Group | |
|
6543 E Main St Suite C Reynoldsburg OH 43068-2429 | |
| (614) 322-6063 | |
| (614) 322-9710 |
| Full Name | Doctors Family Practice Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6543 E Main St, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Benedicta O Udeagbala (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6143226063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Family Practice Group Po Box 785 Reynoldsburg OH 43068-0785 Ph: (614) 322-6063 | Doctors Family Practice Group 6543 E Main St Suite C Reynoldsburg OH 43068-2429 Ph: (614) 322-6063 |
| NPI Number | 1649453754 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 02/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649453754 | NPI | - | NPPES |
| 0241812 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OH6079 (Ohio) | Primary |
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