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Organization

GREATER OHIO CARDIOLOGY,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA PRATER RDCS (MANAGER/SONOGRAPHER)
(740) 845-0000
Entity
Organization

Contact information

Practice address
136 E HIGH ST, LONDON, OH 43140-1229
(740) 845-0000
Mailing address
136 E HIGH ST, LONDON, OH 43140-1229
(740) 845-0000

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35-06-1554C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2108454
OH
Enumeration date
09/06/2007
Last updated
09/06/2007
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