Organization
MEDMOCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY IRENE MORROW FNP (FNP)
(740) 517-0076
Entity
Organization
Contact information
Practice address
155 E MAIN ST, MCCONNELSVILLE, OH 43756-1296
(740) 517-0076
Mailing address
314 S STATE ROUTE 376 SE, MCCONNELSVILLE, OH 43756-9631
(740) 517-0076
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APRN.CNP.13117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3601471
—
OH
Enumeration date
05/24/2018
Last updated
05/24/2018
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