Children's Community Practices, LLC

NPI #1386031896 in Mansfield, Ohio

Provider Information

NPI Number: 1386031896
Entity Type: Organization
Organization Name: Children's Community Practices, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDREN'S COMMUNITY PRACTICES, LLC
Primary Specialty: Pediatrics
Enumeration Date: Apr 22, 2015
Last Updated: Nov 14, 2024

Practice Location

Address: 540 S TRIMBLE RD
City: Mansfield
State: Ohio
ZIP Code: 44906-3418
Phone: (419) 522-5454

Authorized Official

Name: PATRICIA J MCCLIMON
Title: AUTHORIZED OFFICIAL
Phone: (614) 722-5114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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