# GREENWICH FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063632099
- **Authorized official:** JOSEPH C LEE M.D. (OWNER)
- **Authorized official phone:** (419) 752-1811

## Contact information

- **Practice address:** 65 W MAIN ST, GREENWICH, OH 44837-1030
- **Practice address phone:** (419) 752-1811
- **Mailing address:** 65 W MAIN ST, GREENWICH, OH 44837-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020