| Fredericktown Family Practice | |
|
16361 Village Pkwy Fredericktown OH 43019-9585 | |
| (740) 694-2110 | |
| (740) 694-2127 |
| Full Name | Fredericktown Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 16361 Village Pkwy, Fredericktown, Ohio |
| Authorized Official Name and Position | Amanda Bowers (OFFICE MANAGER) |
| Authorized Official Contact | 7406942110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericktown Family Practice 16361 Village Pkwy Fredericktown OH 43019-9585 Ph: (740) 694-2110 | Fredericktown Family Practice 16361 Village Pkwy Fredericktown OH 43019-9585 Ph: (740) 694-2110 |
| NPI Number | 1114060472 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 07/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114060472 | NPI | - | NPPES |
| 2161191 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Knox Internal Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14730 Fredericktown Amity Rd, Fredericktown, OH 43019 Phone: 740-694-1343 |