Organization
SOUTHWEST GENERAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WAGNER (EXECUTIVE DIRECTOR)
(440) 816-2735
Entity
Organization
Contact information
Practice address
7255 OLD OAK BLVD #C-308, MIDDLEBURG HTS, OH 44130-3336
(440) 816-2735
Mailing address
PO BOX 638269, CINCINNATI, OH 45263-8269
(440) 816-2735
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
07/07/2022
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