Organization
NORTH CANTON FAMILY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN SPRAGG JENRETTE MD (PRESIDENT)
(330) 494-6012
Entity
Organization
Contact information
Practice address
133 WILBUR DR NE, NORTH CANTON, OH 44720
(330) 494-6012
(330) 494-0403
Mailing address
PO BOX 80690, CANTON, OH 44708
(330) 833-5530
(330) 833-6085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701888
—
OH
Enumeration date
09/14/2006
Last updated
08/22/2020
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