Organization
SOUTH COMMUNITY PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL M SMERZ (CEO)
(937) 293-8300
Entity
Organization
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439
(937) 531-1974
(937) 534-1579
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439
(937) 531-1974
(937) 534-1579
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/24/2011
Last updated
04/10/2018
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