Provider First Line Business Practice Location Address:
272 HOSPITAL RD
Provider Second Line Business Practice Location Address:
ADENA REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
CHILLICOTHEE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45601-9031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-779-7657
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/12/2005