| South Charleston Medical Center | |
|
1176 E Home Rd Suite O Springfield OH 45503-2726 | |
| (937) 398-0051 | |
| (937) 398-0054 |
| Full Name | South Charleston Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1176 E Home Rd, Springfield, Ohio |
| Authorized Official Name and Position | Marvin H. Williams (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9373980051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Charleston Medical Center 1176 E Home Rd Suite O Springfield OH 45503-2726 Ph: (937) 398-0051 | South Charleston Medical Center 1176 E Home Rd Suite O Springfield OH 45503-2726 Ph: (937) 398-0051 |
| NPI Number | 1215047535 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215047535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35051235 (Ohio) | Primary |
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