Individual
BETHANY JOY LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221
(614) 293-3885
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-2957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.126106
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35.126106
OH
208000000X
Pediatrics Physician
35.126106
OH
Other
Enumeration date
03/26/2013
Last updated
06/14/2018
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