# TUSC COUNTY MEDICAL SPECIALTIES LLC

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

## Provider details

- **NPI number:** 1518156074
- **Authorized official:** DR. BLAIR THOMAS HOLDER M.D. (M.D.)
- **Authorized official phone:** (330) 364-4600

## Contact information

- **Practice address:** 300 MEDICAL PARK DR, SUITE 205, DOVER, OH 44622-2073
- **Practice address phone:** (330) 364-4600
- **Practice address fax:** (330) 364-3338
- **Mailing address:** 300 MEDICAL PARK DR, SUITE 205, DOVER, OH 44622-2073
- **Mailing address phone:** (330) 364-4600
- **Mailing address fax:** (330) 364-3338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 55408 | OH | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 01/06/2020