Organization
EMERALD OBSTETRICS AND GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE B HAGERTY M.D. (OWNER PHYSICIAN)
(614) 875-0444
Entity
Organization
Contact information
Practice address
4461 BROADWAY, SUITE 200, GROVE CITY, OH 43123-3064
(614) 875-0444
(614) 875-1193
Mailing address
1241 DUBLIN RD, COLUMBUS, OH 43215-7048
(614) 255-5349
(614) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35077048
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342414
—
OH
Enumeration date
05/26/2016
Last updated
05/26/2016
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