| West Jefferson Family Practice Inc | |
|
2 E Main St West Jefferson OH 43162-1202 | |
| (614) 879-6770 | |
| (614) 879-7067 |
| Full Name | West Jefferson Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2 E Main St, West Jefferson, Ohio |
| Authorized Official Name and Position | Mark W Garwood (OWNER PHYSICAN) |
| Authorized Official Contact | 6148796770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Jefferson Family Practice Inc 2 E Main St West Jefferson OH 43162-1202 Ph: (614) 879-6770 | West Jefferson Family Practice Inc 2 E Main St West Jefferson OH 43162-1202 Ph: (614) 879-6770 |
| NPI Number | 1508991001 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 10/17/2007 |
| Medicare PECOS PAC ID | 5698796654 |
|---|---|
| Medicare Enrollment ID | O20051219000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508991001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Winston Garwood |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275595274 PECOS PAC ID: 7214958289 Enrollment ID: I20101108000294 |
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