Organization
MARATHON HEALTH, LLC
Active
Parent organization
MARATHON HEALTH, LLC
Other names
Marathon Health @ Parkway Centre
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH, LLC
Authorized official
JERRY FORD (CEO)
(802) 857-0400
Entity
Organization
Contact information
Practice address
4152 BUCKEYE PKWY, GROVE CITY, OH 43123-8175
(802) 857-0400
Mailing address
20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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