Organization
MEDICAL SOUTH FAMILY PRACTICE ASSOC INC
Active
Other names
Medical South Family Practice Assoc Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY WOOTON M.D. (PRESIDENT)
(937) 433-0960
Entity
Organization
Contact information
Practice address
330 N MAIN ST, SUITES #101-102, CENTERVILLE, OH 45459-4465
(937) 433-0960
(937) 433-0958
Mailing address
330 N MAIN ST, SUITES #101-102, CENTERVILLE, OH 45459-4465
(937) 433-0960
(937) 433-0958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Enumeration date
08/02/2006
Last updated
05/18/2010
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