Organization
GWELLA RHEUMATOLOGY
Active
Other names
Fairfield Healthcare Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI B PARRISH (OFFICE MANAGER)
(740) 687-8095
Entity
Organization
Contact information
Practice address
618 PLEASANTVILLE RD, SUITE 201, LANCASTER, OH 43130-3312
(740) 689-6408
(740) 689-6409
Mailing address
1153 E MAIN ST, LANCASTER, OH 43130-4056
(740) 687-8343
(740) 687-8230
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153462
—
OH
01
—
CD3781
MEDICARE RAILROAD
OH
Enumeration date
10/01/2007
Last updated
04/03/2008
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