Organization
EATON FAMILY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ESHAM (ORGANIZATION MANAGER)
(937) 456-4181
Entity
Organization
Contact information
Practice address
550 HALLMARK DR, EATON, OH 45320-8648
(937) 456-4181
(937) 456-4649
Mailing address
550 HALLMARK DR, EATON, OH 45320-8648
(937) 456-4181
(937) 456-4649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052844
—
OH
Enumeration date
10/03/2006
Last updated
08/22/2020
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