Organization
MT. CARMEL FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R WILLIAMS MD (PRESIDENT)
(513) 528-1505
Entity
Organization
Contact information
Practice address
473 OLD STATE ROUTE 74, SUITE 4, CINCINNATI, OH 45244
(513) 528-1505
(513) 528-5982
Mailing address
PO BOX 631997, CINCINNATI, OH 45263-0020
(513) 528-1505
(513) 528-5982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075155
ANTHEM
OH
05
—
2196225
—
OH
Enumeration date
07/19/2006
Last updated
08/22/2020
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