Organization
ADVANCED FAMILY MEDICINE LLC
Active
Other names
Advanced Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CAMERON JOHNSON (D.O.)
(614) 875-0079
Entity
Organization
Contact information
Practice address
4160 BROADWAY, GROVE CITY, OH 43123-3024
(614) 875-0079
Mailing address
4160 BROADWAY, GROVE CITY, OH 43123-3024
(614) 875-0079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
02/13/2018
Last updated
01/27/2021
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