Individual
BETHANY SISTINE GARGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-8883
(614) 566-8149
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
00347585
OH
208M00000X
Hospitalist Physician
Primary
35.139770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00347585
OHIO LICENSE NUMBER
OH
01
—
0116030739
VIRGINIA LICENSE NUMBER
VA
01
—
1326568387
NPI
VA
Enumeration date
06/21/2017
Last updated
03/07/2023
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