SOUTH COMMUNITY PRIMARY CARE INC is a general practice in Moraine, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee SOUTH COMMUNITY PRIMARY CARE INC NPI is 1326334624. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3095 KETTERING BLVD
MORAINE, OH
ZIP 45439
Phone: (937) 531-1974
Fax: (937) 534-1579
The provider's authorized official is Carol M Smerz .
The authorized official title is Ceo and has the following contact phone number (937) 293-8300.
The CLIA number assigned to this NPI record is 36D2080710 - other - community mental health with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/24/2011 and was last updated on 4/10/2018.