Organization
SHADYSIDE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY TWAROG CFNP (NURSE PRACTITIONER AND OWNER)
(740) 298-2475
Entity
Organization
Contact information
Practice address
3948 CENTRAL AVE, SHADYSIDE, OH 43947-1310
(740) 298-2475
Mailing address
65855 STONE RIDGE DR, BELMONT, OH 43718-9425
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
16718NP
OH
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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