| Stark County Medical Group, Inc. | |
|
4810 Munson St Nw Canton OH 44718-3613 | |
| (330) 499-3377 | |
| Not Available |
| Full Name | Stark County Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4810 Munson St Nw, Canton, Ohio |
| Authorized Official Name and Position | Carrie Lynn Gillson (OFFICE MANAGER) |
| Authorized Official Contact | 3304993377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stark County Medical Group, Inc. 4810 Munson St Nw Canton OH 44718-3613 Ph: () - | Stark County Medical Group, Inc. 4810 Munson St Nw Canton OH 44718-3613 Ph: (330) 499-3377 |
| NPI Number | 1427068634 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 6709770779 |
|---|---|
| Medicare Enrollment ID | O20040211000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427068634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01397525 (Ohio) | Primary |
| 208000000X | Pediatrics | 01397525 (Ohio) | Secondary |
| Provider Name | Barbara Helen Volk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376509877 PECOS PAC ID: 7618861683 Enrollment ID: I20100325000105 |
| Provider Name | Stacey Hollaway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922064906 PECOS PAC ID: 8527952597 Enrollment ID: I20100325000136 |
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