Organization
HOMETOWN PEDIATRIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL A NEFF DO (OWNER)
(740) 286-5455
Entity
Organization
Contact information
Practice address
504 MCCARTY LN, JACKSON, OH 45640-7019
(740) 286-5455
(740) 286-6782
Mailing address
PO BOX 959, JACKSON, OH 45640-0959
(740) 286-5455
(740) 286-6782
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34.003758
OH
235Z00000X
Speech-Language Pathologist
SP.9753
OH
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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