Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Jun 23, 2008
License(s)
30889 (SC), 35120109 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 320 W 10TH AVE M 112 STARLING LOVING HALL | Columbus, OH 43210-1280 | 614-293-7499 |
| LOCATION | 410 W 10TH AVE | Columbus, OH 43210-1240 | 614-293-8000 |
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