Organization
MOUNT CARMEL HEALTHPROVIDERS TWO, LLC
Active
Other names
Mount Carmel Thoracic East
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HANCOCK (CREDENTIALING COORDINATOR)
(614) 546-4621
Entity
Organization
Contact information
Practice address
5969 E BROAD ST, SUITE 409, COLUMBUS, OH 43213-1546
(614) 864-5864
(614) 864-9302
Mailing address
5969 E BROAD ST, SUITE 409, COLUMBUS, OH 43213-1546
(614) 864-5864
(614) 864-9302
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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