Organization
CLEVELAND MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORBY JOHNSON (VP)
(513) 465-6268
Entity
Organization
Contact information
Practice address
700 MONROE RD, LEBANON, OH 45036-1409
(513) 465-6268
Mailing address
PO BOX 286, TRENTON, OH 45067-0286
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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