| Mashburn Family Practice Inc | |
|
913 State Route 46 Oakmont Plaza Columbiana OH 44408-9457 | |
| (330) 482-0400 | |
| (330) 482-0402 |
| Full Name | Mashburn Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 913 State Route 46, Columbiana, Ohio |
| Authorized Official Name and Position | Sandra J Mashburn (CORPORATE SECRETARY/ OFFICE MANAGER) |
| Authorized Official Contact | 3304820400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mashburn Family Practice Inc 913 State Route 46 Oakmont Plaza Columbiana OH 44408-9457 Ph: (330) 482-0400 | Mashburn Family Practice Inc 913 State Route 46 Oakmont Plaza Columbiana OH 44408-9457 Ph: (330) 482-0400 |
| NPI Number | 1093777872 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093777872 | NPI | - | NPPES |
| 2194889 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35075832 (Ohio) | Primary |
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