Organization
ADVANCED FAMILY MEDICINE LLC
Active
Other names
Advanced Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CAMERON JOHNSON DO (OWNER)
(614) 875-0079
Entity
Organization
Contact information
Practice address
4160 BROADWAY, GROVE CITY, OH 43123-3024
(614) 594-3080
Mailing address
4160 BROADWAY, GROVE CITY, OH 43123-3024
(614) 594-3080
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-8755
OHIO DEPARTMENT OF MENTAL HEALTH
OH
Enumeration date
04/26/2022
Last updated
04/26/2022
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