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Organization
SOUTH COURT FAMILY PHYSICIANS INC
Active
Organization
SOUTH COURT FAMILY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L HODGES (OFFICE MANAGER)
(330) 722-6337
Entity
Organization
Contact information
Practice address
1075 S COURT ST, SUITE 100, MEDINA, OH 44256-4354
(330) 722-6337
(330) 722-0481
Mailing address
1075 S COURT ST, SUITE 100, MEDINA, OH 44256-4354
(330) 722-6337
(330) 722-0481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077002B
OH
363A00000X
Physician Assistant
50-002583
OH
Other
Enumeration date
07/06/2007
Last updated
12/14/2009
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