| Daugherty Medical Group, Inc Psc | |
|
2230 Auburn Ave Cincinnati OH 45219-2922 | |
| (513) 861-6610 | |
| (513) 872-5794 |
| Full Name | Daugherty Medical Group, Inc Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2230 Auburn Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Elizabeth Adcock (OFFICE MANAGER) |
| Authorized Official Contact | 5138725793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daugherty Medical Group, Inc Psc 2230 Auburn Ave Cincinnati OH 45219-2922 Ph: () - | Daugherty Medical Group, Inc Psc 2230 Auburn Ave Cincinnati OH 45219-2922 Ph: (513) 861-6610 |
| NPI Number | 1295956928 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295956928 | NPI | - | NPPES |
| 4008 | Medicaid | KY | |
| 0146185 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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