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2999 Mcmackin Rd Madison OH 44057-2330 | |
| (440) 428-1111 | |
| (440) 428-0709 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2999 Mcmackin Rd, Madison, Ohio |
| Authorized Official Name and Position | Frank G Sailors (OWNER OF PRACTICE) |
| Authorized Official Contact | 4404281111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2999 Mcmackin Rd Madison OH 44057-2330 Ph: (440) 428-1111 | 2999 Mcmackin Rd Madison OH 44057-2330 Ph: (440) 428-1111 |
| NPI Number | 1164460150 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164460150 | NPI | - | NPPES |
| 0706061 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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