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Organization
MOUNT CARMEL HEALTHPROVIDERS III, LLC
Active
Organization
MOUNT CARMEL HEALTHPROVIDERS III, LLC
Active
Other names
Mount Carmel Health Stations Reynoldsburg
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HANCOCK (CREDENTIALING COORDINATOR)
(614) 546-4621
Entity
Organization
Contact information
Practice address
6699 E LIVINGSTON AVE, REYNOLDSBURG, OH 43068-3688
(614) 367-1255
(614) 367-1265
Mailing address
6699 E LIVINGSTON AVE, REYNOLDSBURG, OH 43068-3688
(614) 367-1255
(614) 367-1265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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