Organization
JACKSON FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN HARTWICK (PRACTICE MANAGER)
(740) 577-9181
Entity
Organization
Contact information
Practice address
500 BURLINGTON RD, SUITE 260, JACKSON, OH 45640-9360
(740) 577-9181
(740) 577-9214
Mailing address
PO BOX 190, JACKSON, OH 45640-0190
(740) 577-9181
(740) 577-9214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
03/24/2016
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