Medical South Family Practice Assoc INC
NPI #1659388320 in Centerville, Ohio
Provider Information
- NPI Number
- 1659388320
- Entity Type
- Organization
- Organization Name
- Medical South Family Practice Assoc INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 2, 2006
- Last Updated
- May 18, 2010
Practice Location
- Address
- 330 N MAIN ST
- Address 2
- SUITES #101-102
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45459-4465
- Phone
- (937) 433-0960
Authorized Official
- Name
- DR. AMY WOOTON, M.D.
- Title
- PRESIDENT
- Phone
- (937) 433-0960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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