| Medcosmetix, Llc | |
|
241 Executive Dr Marion OH 43302-6307 | |
| (740) 387-3256 | |
| (740) 383-4906 |
| Full Name | Medcosmetix, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 241 Executive Dr, Marion, Ohio |
| Authorized Official Name and Position | Timothy Francis Garner (PRESIDENT) |
| Authorized Official Contact | 7403873256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcosmetix, Llc 241 Executive Dr Marion OH 43302-6307 Ph: (740) 387-3256 | Medcosmetix, Llc 241 Executive Dr Marion OH 43302-6307 Ph: (740) 387-3256 |
| NPI Number | 1891960720 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891960720 | NPI | - | NPPES |
| 0695805 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35051305G (Ohio) | Primary |
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