INDEPENDENT PROVIDER

Exclusive Provider Organization · S CHARLESTON, OH

Organization Active NPI 1821217308

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Exclusive Provider Organization302F00000XSK307751OH
Preferred Provider Organization305R00000XSK307751OH

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.