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Organization

ADVANCED FAMILY MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES CAMERON JOHNSON D.O. (OWNER)
(614) 875-0079
Entity
Organization

Contact information

Practice address
4160 BROADWAY, GROVE CITY, OH 43123-3024
(614) 875-0079
(614) 875-2008
Mailing address
4160 BROADWAY, GROVE CITY, OH 43123-3024
(614) 875-0079
(614) 875-2008

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007672J
OH

Other

Enumeration date
12/03/2007
Last updated
08/31/2012
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