Organization
GLASS CITY OBGYN LLC
Active
Other names
River Valley Womens Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN NATHANIEL JERIG MD (OWNER)
(740) 687-2229
Entity
Organization
Contact information
Practice address
1319 E MAIN ST, LANCASTER, OH 43130-4005
(740) 687-2229
(740) 687-2220
Mailing address
1319 E MAIN ST, LANCASTER, OH 43130-4005
(740) 687-2229
(740) 687-2220
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280314
—
OH
Enumeration date
04/27/2020
Last updated
09/02/2020
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