Organization Name: | ATHLETIC MEDICAL SOLUTIONS LLC |
NPI Number: | 1699016782 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARLA TALLEDO (DIRECTOR OF OPERATIONS) |
Mailing Address: | 2222 Stringtown Rd Grove City |
State: | OH US |
Postal Code: | 431232929 |
Phone Number: | 6142771248 |
Fax Number: | 6148019095 |
NPI Enumeration Date: | 03/14/2013 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
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