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Organization
MOUNT CARMEL HEALTHPROVIDERS TWO, LLC
Active
Organization
MOUNT CARMEL HEALTHPROVIDERS TWO, LLC
Active
Other names
Mount Carmel Thoracic East
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HANCOCK (CREDENTIALING COORDINATOR)
(614) 546-4621
Entity
Organization
Contact information
Practice address
5969 E BROAD ST, SUITE 409, COLUMBUS, OH 43213-1546
(614) 864-5864
(614) 864-9302
Mailing address
5969 E BROAD ST, SUITE 409, COLUMBUS, OH 43213-1546
(614) 864-5864
(614) 864-9302
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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