Organization
MOUNT CARMEL HEALTHPROVIDERS III, LLC
Active
Other names
Mount Carmel Health Stations Reynoldsburg
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HANCOCK (CREDENTIALING COORDINATOR)
(614) 546-4621
Entity
Organization
Contact information
Practice address
6699 E LIVINGSTON AVE, REYNOLDSBURG, OH 43068-3688
(614) 367-1255
(614) 367-1265
Mailing address
6699 E LIVINGSTON AVE, REYNOLDSBURG, OH 43068-3688
(614) 367-1255
(614) 367-1265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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