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Individual

JAMES EDWARD MACKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 MCNAUGHTEN ROAD, SUITE 130, COLUMBUS, OH 43213
(614) 577-8322
(614) 577-8302
Mailing address
3555 OLENTANGY RIVER RD, SUITE 3070, COLUMBUS, OH 43214-3912
(614) 566-2942
(614) 566-6886

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35041210
OH
207RP1001X
Pulmonary Disease Physician
Primary
35041210
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000118566
ANTHEM
OH
05
0434499
OH
01
4800038
UHC
OH
Enumeration date
06/14/2006
Last updated
08/28/2009
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