Provider First Line Business Practice Location Address:
419 NORTH JAMES ROAD
Provider Second Line Business Practice Location Address:
COMMUNITY CARE DEPARTMENT
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-257-5200
Provider Business Practice Location Address Fax Number:
614-388-7457
Provider Enumeration Date:
05/10/2022