| Advanced Family Medicine | |
|
4160 Broadway Grove City OH 43123-3024 | |
| (614) 875-0079 | |
| Not Available |
| Full Name | Advanced Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4160 Broadway, Grove City, Ohio |
| Authorized Official Name and Position | James Cameron Johnson (D.O.) |
| Authorized Official Contact | 6148750079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Medicine 4160 Broadway Grove City OH 43123-3024 Ph: (614) 875-0079 | Advanced Family Medicine 4160 Broadway Grove City OH 43123-3024 Ph: (614) 875-0079 |
| NPI Number | 1851891279 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Medicare PECOS PAC ID | 5496776247 |
|---|---|
| Medicare Enrollment ID | O20051208000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851891279 | NPI | - | NPPES |
| Provider Name | James C Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972535094 PECOS PAC ID: 0446271159 Enrollment ID: I20090519000397 |
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