Healthcare Provider Details
I. General information
NPI: 1902961246
Provider Name (Legal Business Name): FOREST HILLS MEDICAL ASSOCIATES LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6620 CLOUGH PIKE
CINCINNATI OH
45244-4039
US
IV. Provider business mailing address
6620 CLOUGH PIKE
CINCINNATI OH
45244-4039
US
V. Phone/Fax
- Phone: 513-231-9010
- Fax: 513-231-9706
- Phone: 513-231-9010
- Fax: 513-231-9706
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
CLIFFORD
MILLER
Title or Position: OWNER
Credential: MD
Phone: 513-231-9010