Healthy Life Center Llc | |
1612 Lancaster Ave Ste B Reynoldsburg OH 43068-2639 | |
(614) 599-3800 | |
Not Available |
Full Name | Healthy Life Center Llc |
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Speciality | Family Medicine |
Location | 1612 Lancaster Ave Ste B, Reynoldsburg, Ohio |
Authorized Official Name and Position | Pavan Venkata Dontineni (OWNER) |
Authorized Official Contact | 7408770478 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healthy Life Center Llc 1612 Lancaster Ave Ste B Reynoldsburg OH 43068-2639 Ph: () - | Healthy Life Center Llc 1612 Lancaster Ave Ste B Reynoldsburg OH 43068-2639 Ph: (614) 599-3800 |
NPI Number | 1003511627 |
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Provider Enumeration Date | 04/03/2023 |
Last Update Date | 04/24/2023 |
Identifier | Type | State | Issuer |
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1003511627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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