Organization
CHERRY WESTGATE FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORA ANN MEIKLE CMOM (OFFICE MANAGER)
(740) 587-0087
Entity
Organization
Contact information
Practice address
2000 NEWARK GRANVILLE RD, SUITE 100, GRANVILLE, OH 43023-9135
(740) 587-0087
(740) 587-0084
Mailing address
2000 NEWARK GRANVILLE RD, SUITE 100, GRANVILLE, OH 43023-9135
(740) 587-0087
(740) 587-0084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0937071
—
OH
01
—
CG0047
RAILROAD MEDICARE
OH
Enumeration date
08/29/2005
Last updated
07/28/2017
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