Organization
RCHP-WILMINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
610 W MAIN ST, WILMINGTON, OH 45177-2125
(937) 283-9845
(937) 283-9839
Mailing address
PO BOX 117054, ATLANTA, GA 30368-7054
(937) 283-9845
(937) 283-9839
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
12/17/2010
Last updated
03/11/2024
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