| Eastside Family Practice, Inc. | |
|
11299 Stonecreek Dr Pickerington OH 43147-8910 | |
| (614) 235-4782 | |
| Not Available |
| Full Name | Eastside Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 11299 Stonecreek Dr, Pickerington, Ohio |
| Authorized Official Name and Position | Nancy L. Graesser (OWNER) |
| Authorized Official Contact | 6148646107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Family Practice, Inc. 1835 Drugan Ct Sw Reynoldsburg OH 43068-8181 Ph: (614) 864-6107 | Eastside Family Practice, Inc. 11299 Stonecreek Dr Pickerington OH 43147-8910 Ph: (614) 235-4782 |
| NPI Number | 1437298999 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437298999 | NPI | - | NPPES |
| 0722061 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34004238 (Ohio) | Primary |
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