Individual
SUSAN H MAGNESS CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
507 S 16TH ST, COSHOCTON, OH 43812
(740) 622-8299
(740) 622-4436
Mailing address
507 S 16TH ST, COSHOCTON, OH 43812
(740) 622-8299
(740) 622-4436
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35043965
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118509
ANTHEM
—
05
—
0573106
—
OH
Enumeration date
11/15/2006
Last updated
03/07/2023
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