South Community Primary Care INC

NPI #1326334624 in Moraine, Ohio

Provider Information

NPI Number: 1326334624
Entity Type: Organization
Organization Name: South Community Primary Care INC
Primary Specialty: General Practice
Enumeration Date: Jun 24, 2011
Last Updated: Apr 10, 2018

Practice Location

Address: 3095 KETTERING BLVD
City: Moraine
State: Ohio
ZIP Code: 45439
Phone: (937) 531-1974

Authorized Official

Name: CAROL M SMERZ
Title: CEO
Phone: (937) 293-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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