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NPI Code Detail

MEDICARE: SARAH LYNN GROVE D.O.

MEDICARE: SARAH LYNN GROVE D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician58.003162OH

General Provider Information

NPI Number : 1962721506
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LYNN GROVE D.O.
Provider Business Mailing Address
First Line : 480 MEDICAL CENTER DR
Second Line : DODD HALL
City : COLUMBUS
State : OH
Zip : 43210-1229
Country : US
Telephone Number : 614-293-7604
Fax Number :
Provider Business Practice Location Address
First Line : 480 MEDICAL CENTER DR
Second Line : 1028 DODD HALL
City : COLUMBUS
State : OH
Zip : 43210-1229
Country : US
Telephone Number : 614-293-4295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2010
Last Update Date : 02/06/2014

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Directions to “ SARAH LYNN GROVE D.O.” Practice Location

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