Organization Name: | ACM MEDICAL LLC |
NPI Number: | 1780977140 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADAM HALL (OWNER) |
Mailing Address: | 867 W Town St Suite 720 Columbus |
State: | OH US |
Postal Code: | 432221647 |
Phone Number: | 6149151834 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2011 |
NPI Last Update Date: | 05/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34.008707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |