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Organization
SOUTH COURT FAMILY PRACTICE CENTER, INC.
Active
Organization
SOUTH COURT FAMILY PRACTICE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAPASWINI A TRIVEDI M..D. (PRESIDENT)
(740) 420-0100
Entity
Organization
Contact information
Practice address
600 N PICKAWAY ST, SUITE 204, CIRCLEVILLE, OH 43113-2409
(740) 420-0100
(740) 420-0103
Mailing address
600 N PICKAWAY ST, SUITE 204, CIRCLEVILLE, OH 43113-2409
(740) 420-0100
(740) 420-0103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076625-T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2142041
—
OH
Enumeration date
12/27/2006
Last updated
08/22/2020
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