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Organization

FIRST CAPITAL INTERNAL MEDICINE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK C BERNO JR. M.D. (CHAIRMAN)
(740) 775-2652
Entity
Organization

Contact information

Practice address
4437 ST. RT. 159, SUITE 115, CHILLICOTHE, OH 45601
(740) 775-2652
(740) 775-2699
Mailing address
4437 ST. RT. 159, SUITE 115, CHILLICOTHE, OH 45601
(740) 775-2652
(740) 775-2699

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35047244B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2199973
OH
Enumeration date
07/04/2006
Last updated
04/04/2008
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