Organization
INTERNAL MEDICINE SPECIALISTS OF CANTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGATHA CHUKWUMERIJE MD (PRESIDENT)
(330) 454-9766
Entity
Organization
Contact information
Practice address
1930 FULTON RD NW STE 101, CANTON, OH 44709-3526
(330) 454-9766
(330) 454-3438
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 454-9766
(330) 833-6085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067956
OH
Other
Enumeration date
02/08/2007
Last updated
10/24/2007
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