Organization
SHG ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BELANGER (CREDENTIALING MANAGER)
(817) 718-4606
Entity
Organization
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9000
Mailing address
1391 W 5TH AVE # 215, COLUMBUS, OH 43212-2902
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
01/21/2021
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