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Organization
ADVANCED FAMILY MEDICINE LLC
Active
Organization
ADVANCED FAMILY MEDICINE LLC
Active
Other names
Advanced Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CAMERON JOHNSON (D.O.)
(614) 875-0079
Entity
Organization
Contact information
Practice address
4160 BROADWAY, GROVE CITY, OH 43123-3024
(614) 875-0079
Mailing address
4160 BROADWAY, GROVE CITY, OH 43123-3024
(614) 875-0079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
02/13/2018
Last updated
01/27/2021
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