| Waverly Medical Practice,inc. | |
|
207 St Anns Ln Waverly OH 45690-1040 | |
| (740) 708-5478 | |
| (740) 947-5720 |
| Full Name | Waverly Medical Practice,inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 207 St Anns Ln, Waverly, Ohio |
| Authorized Official Name and Position | Kenneth Arthur Wilkinson (OWNER) |
| Authorized Official Contact | 7409472383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waverly Medical Practice,inc. 207 Saint Anns Ln Waverly OH 45690-1040 Ph: (740) 708-5478 | Waverly Medical Practice,inc. 207 St Anns Ln Waverly OH 45690-1040 Ph: (740) 708-5478 |
| NPI Number | 1386826766 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386826766 | NPI | - | NPPES |
| 9470880 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35024770 (Ohio) | Primary |
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