Licking Memorial Professional Corporation
Licking Memorial Professional Corporation provides Family Medicine Physician services in Granville, Ohio. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1264 Weaver DrGranville, OH 43023-1257
Phone: (740) 348-1940
Fax: (740) 348-1941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1043244965 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Montagnese — Executive V.P. · (740) 348-4000 |
| Other names | Licking Memorial Family Practice-Granville |
| NPI enumerated | July 10, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1264 Weaver Dr, Granville, OH 43023-1257 |
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