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JEFFREY SLOANE ZOLLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL CENTER DR, SUITE 490, MIDDLETOWN, OH 45005-5182
(513) 424-1291
(513) 424-9422
Mailing address
200 MEDICAL CENTER DR, SUITE 490, MIDDLETOWN, OH 45005-5182
(513) 424-1291
(513) 424-9422

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.040417
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000006954
ANTHEM PROVIDER NUMBER
OH
05
0327631
OH
01
310898766
ALL OTHER INSURANCE COMPA
OH
Enumeration date
11/23/2005
Last updated
11/29/2013
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