| Dr Sus Clinic Inc | |
|
6733 Marietta Rd Chillicothe OH 45601 | |
| (740) 701-8271 | |
| Not Available |
| Full Name | Dr Sus Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6733 Marietta Rd, Chillicothe, Ohio |
| Authorized Official Name and Position | Catherin T Su (PRESIDENT) |
| Authorized Official Contact | 7407755061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sus Clinic Inc Po Box 233 Chillicothe OH 45601-0233 Ph: () - | Dr Sus Clinic Inc 6733 Marietta Rd Chillicothe OH 45601 Ph: (740) 701-8271 |
| NPI Number | 1629146402 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629146402 | NPI | - | NPPES |
| 0186794 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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