Provider First Line Business Practice Location Address:
793 W STATE ST
Provider Second Line Business Practice Location Address:
MT CARMEL MEDICAL CENTER, MEDICAL EDUCATION
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43222-1551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-234-5279
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2006