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NPI Code Detail

MEDICARE: COMPLETE HEALTHCARE FOR WOMEN INC.

MEDICARE: COMPLETE HEALTHCARE FOR WOMEN INC.
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
1207V00000XObstetrics & Gynecology Physician35-07-5146-SOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649206996
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE HEALTHCARE FOR WOMEN INC.
Provider Business Mailing Address
First Line : 5888 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2815
Country : US
Telephone Number : 614-882-4343
Fax Number : 614-882-4664
Provider Business Practice Location Address
First Line : 5888 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2815
Country : US
Telephone Number : 614-882-4343
Fax Number : 614-882-4664
Authorized Official
Title or Position : OWNER
Name : DR. MILROY J. SAMUEL
Credential : M.D.
Telephone Number : 614-882-4343
Provider Enumeration Date : 06/25/2006
Last Update Date : 07/03/2019

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1932169497 — SOUTHEAST, INC
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1700836483 — MS. MARY ANN KLEE LISW
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Directions to “COMPLETE HEALTHCARE FOR WOMEN INC. ” Practice Location

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