Organization
GENERATIONS FAMILY MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA A GAUGHAN (CO-OFFICE BILLING MANAGER)
(614) 337-9100
Entity
Organization
Contact information
Practice address
765 N HAMILTON RD, STE. 255, GAHANNA, OH 43230-8703
(614) 337-9100
(614) 337-0027
Mailing address
765 N HAMILTON RD, STE. 255, GAHANNA, OH 43230-8703
(614) 337-9100
(614) 337-0027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0844288
—
OH
Enumeration date
02/09/2007
Last updated
06/17/2009
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