Impact Pediatrics, LLC

NPI #1578842720 in Columbus, Ohio

Provider Information

NPI Number: 1578842720
Entity Type: Organization
Organization Name: Impact Pediatrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: Aug 5, 2011
Last Updated: Jun 15, 2012

Practice Location

Address: 1910 BETHEL RD
City: Columbus
State: Ohio
ZIP Code: 43220-1864
Phone: (614) 824-2546

Authorized Official

Name: DR. DAWN HACKSHAW, MD
Title: OWNER
Phone: (614) 459-6510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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