JOHNSON J THOTTAM MD INC. NPI 1144594813

NPI Information

JOHNSON J THOTTAM MD INC. is a medical specialty clinic center in Canton, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JOHNSON J THOTTAM MD INC. NPI is 1144594813. The provider is registered as an organization entity type.

The provider's business location address is:

4800 HIGBEE AVE NW
CANTON, OH
ZIP 44718-528
Phone: (330) 492-8521
Fax: (330) 492-1967

The provider's authorized official is Johnson John Thottam .
The authorized official title is President and has the following contact phone number (330) 492-8521.

The enumeration date for this NPI number is 2/28/2012 and was last updated on 2/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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