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Organization
SOUTH CHARLESTON MEDICAL CENTER
Active
Organization
SOUTH CHARLESTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN H. WILLIAMS JR. M.D. (PHYSICIAN/OWNER)
(937) 398-0051
Entity
Organization
Contact information
Practice address
1176 E HOME RD, SUITE O, SPRINGFIELD, OH 45503-2726
(937) 398-0051
(937) 398-0054
Mailing address
1176 E HOME RD, SUITE O, SPRINGFIELD, OH 45503-2726
(937) 398-0051
(937) 398-0054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051235
OH
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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