Organization
JDS MEICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY L DUNMYER MD (AUTHORIZED REPRESENTATIVE)
(740) 454-1248
Entity
Organization
Contact information
Practice address
1625 AIRPORT RD, NEW LEXINGTON, OH 43764-9749
(740) 342-5158
(740) 342-6702
Mailing address
3620 COURT DR, ZANESVILLE, OH 43701-6456
(740) 454-1248
(740) 454-8183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075041D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2807430
MEDICAID DISABILITY
OH
Enumeration date
04/29/2010
Last updated
04/29/2010
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