# GLASS CITY OBGYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River Valley Womens Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124649504
- **Authorized official:** DR. SEAN NATHANIEL JERIG MD (OWNER)
- **Authorized official phone:** (740) 687-2229

## Contact information

- **Practice address:** 1319 E MAIN ST, LANCASTER, OH 43130-4005
- **Practice address phone:** (740) 687-2229
- **Practice address fax:** (740) 687-2220
- **Mailing address:** 1319 E MAIN ST, LANCASTER, OH 43130-4005
- **Mailing address phone:** (740) 687-2229
- **Mailing address fax:** (740) 687-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2020
- **Last updated:** 09/02/2020
