PROMEDICA CENTRAL PHYSICIANS LLC NPI 1255475372

NPI Information

PROMEDICA CENTRAL PHYSICIANS, LLC is an obstetrics gynecology in Sylvania, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROMEDICA CENTRAL PHYSICIANS, LLC NPI is 1255475372. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sarah Puckett, Do.

The provider's business location address is:

5300 HARROUN RD
SUITE 226
SYLVANIA, OH
ZIP 43560-182
Phone: (419) 824-5640
Fax: (419) 824-5744

The provider's authorized official is Kenya Dixon .
The authorized official title is Credentialing Assistant and has the following contact phone number (419) 824-7288.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

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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