| Gastroenterology Of Canton Inc | |
|
4124 Munson St Nw Suite A Canton OH 44718-2979 | |
| (330) 492-6662 | |
| (330) 492-6918 |
| Full Name | Gastroenterology Of Canton Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4124 Munson St Nw, Canton, Ohio |
| Authorized Official Name and Position | Shari Townsend (OFFICE MANAGER) |
| Authorized Official Contact | 3304926662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Of Canton Inc 4124 Munson St Nw Suite A Canton OH 44718-2979 Ph: (330) 492-6662 | Gastroenterology Of Canton Inc 4124 Munson St Nw Suite A Canton OH 44718-2979 Ph: (330) 492-6662 |
| NPI Number | 1124179171 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124179171 | NPI | - | NPPES |
| 100000769 | Other | OH | RAILROAD MEDICARE |
| 0559819 | Medicaid | OH | |
| 000000137194 | Other | OH | ANTHEM |
| 735536 | Other | OH | BUCKEYE COMMUNITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 35046973 (Ohio) | Primary |
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