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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
12083A0300XAddiction Medicine (Preventive Medicine) Physician

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 : 1992357354
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 : 43231-2860
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 : 43231-2860
Country : US
Telephone Number : 614-882-4343
Fax Number : 614-882-4664
Authorized Official
Title or Position : MD
Name : MILROY J SAMUEL
Credential :
Telephone Number : 614-882-4343
Provider Enumeration Date : 07/15/2019
Last Update Date : 07/15/2019

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Directions to “COMPLETE HEALTHCARE FOR WOMEN INC. ” Practice Location

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