Organization
CENTRAL CITY DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL KEVIN WILKIN M.D. (DIRECTOR)
(614) 452-9800
Entity
Organization
Contact information
Practice address
777 W STATE ST, 501, COLUMBUS, OH 43222-1536
(614) 452-9800
(614) 448-2720
Mailing address
300 W SPRING ST, 1204, COLUMBUS, OH 43215-7646
(614) 452-9800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35088794
OH
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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