| Newbold Medical Llc | |
|
334 2nd Ave Ste 1e Gallipolis OH 45631-1414 | |
| (740) 208-5507 | |
| (740) 777-9609 |
| Full Name | Newbold Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 334 2nd Ave Ste 1e, Gallipolis, Ohio |
| Authorized Official Name and Position | Vivien Newbold (OWNER) |
| Authorized Official Contact | 7402085507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newbold Medical Llc 509 Graham School Rd Gallipolis OH 45631-9133 Ph: (740) 208-5507 | Newbold Medical Llc 334 2nd Ave Ste 1e Gallipolis OH 45631-1414 Ph: (740) 208-5507 |
| NPI Number | 1902310626 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 11/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902310626 | NPI | - | NPPES |
| 35.064455 | Other | OHIO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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