Individual
CAROL ANN ANTONELLI-GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
109 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-7713
(740) 695-2090
(740) 695-4116
Mailing address
109 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-7713
(740) 695-2090
(740) 695-4116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1004
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052415000
—
WV
05
—
0382688
—
OH
Enumeration date
03/22/2006
Last updated
04/02/2020
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