# GENERATIONS FAMILY MEDICINE OF SOUTHWEST OHIO LLC

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

## Provider details

- **NPI number:** 1508040171
- **Authorized official:** LEAH AVERA MD (PRESIDENT)
- **Authorized official phone:** (513) 217-5850

## Contact information

- **Practice address:** 1042 SUMMITT SQ, MIDDLETOWN, OH 45042-3400
- **Practice address phone:** (513) 217-5850
- **Mailing address:** PO BOX 635893, CINCINNATI, OH 45263-5893
- **Mailing address phone:** (513) 721-3504
- **Mailing address fax:** (513) 345-6281

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2007
- **Last updated:** 06/02/2008