| South Court Family Practice Center, Inc. | |
|
600 N Pickaway St Suite 204 Circleville OH 43113-2409 | |
| (740) 420-0100 | |
| (740) 420-0103 |
| Full Name | South Court Family Practice Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 600 N Pickaway St, Circleville, Ohio |
| Authorized Official Name and Position | Tapaswini A Trivedi (PRESIDENT) |
| Authorized Official Contact | 7404200100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Court Family Practice Center, Inc. 600 N Pickaway St Suite 204 Circleville OH 43113-2409 Ph: (740) 420-0100 | South Court Family Practice Center, Inc. 600 N Pickaway St Suite 204 Circleville OH 43113-2409 Ph: (740) 420-0100 |
| NPI Number | 1538224613 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538224613 | NPI | - | NPPES |
| 2142041 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35076625-T (Ohio) | Primary |
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