Organization
FAIRWAY FAMILY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P WHITLATCH MD (PRESIDENT CORPORATE)
(614) 961-7051
Entity
Organization
Contact information
Practice address
1171 FAIRWAY BLVD, COLUMBUS, OH 43213
(614) 861-7051
(614) 861-0614
Mailing address
1171 FAIRWAY BLVD, COLUMBUS, OH 43213
(614) 861-7051
(614) 861-0614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309222
—
OH
Enumeration date
05/10/2006
Last updated
08/22/2020
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