Provider First Line Business Practice Location Address:
6001 EAST BROAD ST
Provider Second Line Business Practice Location Address:
MOUNT CARMEL EAST HOSPITAL
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-234-6590
Provider Business Practice Location Address Fax Number:
614-234-9395
Provider Enumeration Date:
08/08/2008