Organization
OB GYN ASSOCIATES OF GREENE COUNTY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE S LIN MD (OWNER)
(937) 376-9731
Entity
Organization
Contact information
Practice address
121 S PROGRESS DR, XENIA, OH 45385-2673
(937) 376-9731
(937) 376-5521
Mailing address
121 S PROGRESS DR, XENIA, OH 45385-2673
(937) 376-9731
(937) 376-5521
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.075281
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212130
ANTHEM
—
01
—
0702833
UHC
—
05
—
2256259
—
OH
01
—
359642086003
MEDICAL MUTUAL
—
01
—
7159289
AETNA
—
01
—
D75281
HUMANA
—
Enumeration date
11/01/2005
Last updated
08/25/2010
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