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Organization
CENTRAL OHIO MEDICAL MANAGEMENT LLC
Active
Organization
CENTRAL OHIO MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MARIE NICHOLS MD (CEO)
(614) 577-1948
Entity
Organization
Contact information
Practice address
1755 LANCASTER AVE, REYNOLDSBURG, OH 43068-3108
(614) 577-1948
(614) 577-1948
Mailing address
PO BOX 513, PICKERINGTON, OH 43147-0513
(614) 577-1948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.086704
OH
Other
Enumeration date
02/08/2018
Last updated
04/20/2018
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