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Organization
STARK COUNTY MEDICAL GROUP, INC.
Active
Organization
STARK COUNTY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE LYNN GILLSON (OFFICE MANAGER)
(330) 499-3377
Entity
Organization
Contact information
Practice address
4810 MUNSON ST NW, CANTON, OH 44718-3613
(330) 499-3377
Mailing address
4810 MUNSON ST NW, CANTON, OH 44718-3613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01397525
OH
208000000X
Pediatrics Physician
01397525
OH
Other
Enumeration date
08/09/2006
Last updated
01/29/2024
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