Organization
GOGETEMGIRL ENTERTAINMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MCDONALD STNA (INDEPENDENT MEDICAID PROVIDER)
(614) 260-5444
Entity
Organization
Contact information
Practice address
1723 SHADY LANE RD, COLUMBUS, OH 43227-2576
(614) 260-5444
Mailing address
1723 SHADY LANE RD, COLUMBUS, OH 43227-2576
(614) 260-5444
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
401224260411
OH
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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