Organization
OH INDEPENDENT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M SWISHER (ADVISOR, CREDENTIALING)
(614) 566-0152
Entity
Organization
Contact information
Practice address
210 SHARON RD STE A, CIRCLEVILLE, OH 43113-1498
(740) 474-3850
(888) 921-9123
Mailing address
3430 OHIO HEALTH PKWY, COLUMBUS, OH 43202-1575
(614) 566-0152
(614) 566-0401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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