Organization
TOTAL HEALTH & WELLNESS OBGYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSALIND JOY JACKSON M.D. (OWNER)
(937) 384-8780
Entity
Organization
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD, SUITE 104, MIAMISBURG, OH 45342-7615
(937) 384-8780
(937) 384-4876
Mailing address
4000 MIAMISBURG CENTERVILLE RD, SUITE 104, MIAMISBURG, OH 45342-7615
(937) 384-8780
(937) 384-4876
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35071571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2238322
—
OH
Enumeration date
08/20/2013
Last updated
03/25/2014
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