Individual
CHARLES QUARTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2837 SHADWELL DR, REYNOLDSBURG, OH 43068-5041
(614) 516-7287
Mailing address
2837 SHADWELL DR, REYNOLDSBURG, OH 43068-5041
(614) 516-7207
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
SV364895
OH
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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