| Medical South Family Practice Assoc Inc | |
|
330 N Main St Suites #101-102 Centerville OH 45459-4465 | |
| (937) 433-0960 | |
| (937) 433-0958 |
| Full Name | Medical South Family Practice Assoc Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 330 N Main St, Centerville, Ohio |
| Authorized Official Name and Position | Amy Wooton (PRESIDENT) |
| Authorized Official Contact | 9374330960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical South Family Practice Assoc Inc 330 N Main St Suites #101-102 Centerville OH 45459-4465 Ph: (937) 433-0960 | Medical South Family Practice Assoc Inc 330 N Main St Suites #101-102 Centerville OH 45459-4465 Ph: (937) 433-0960 |
| NPI Number | 1659388320 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659388320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
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