Organization
MARGARET B SHALEY CHILD HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN B SMITH (OFFICE MANAGER)
(330) 453-3386
Entity
Organization
Contact information
Practice address
919 2ND ST NE, CANTON, OH 44704
(330) 453-3386
(330) 453-2362
Mailing address
919 2ND ST NE, CANTON, OH 44704
(330) 453-3386
(330) 453-2362
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0248593
—
OH
Enumeration date
10/03/2006
Last updated
08/22/2020
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