Organization
MEDCOSMETIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY FRANCIS GARNER M.D. (PRESIDENT)
(740) 387-3256
Entity
Organization
Contact information
Practice address
241 EXECUTIVE DR, MARION, OH 43302-6307
(740) 387-3256
(740) 383-4906
Mailing address
241 EXECUTIVE DR, MARION, OH 43302-6307
(740) 387-3256
(740) 383-4906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051305G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0695805
—
OH
Enumeration date
04/22/2008
Last updated
04/22/2008
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