Graduated: 2019
NPI: 1447808936
Practice Locations (3)
SOMC MEDICAL CARE FOUNDATION, INC.
7959 STATE ROUTE 124
LATHAM, OH 456469701
7402261552
SOMC MEDICAL CARE FOUNDATION, INC.
1248 KINNEYS LN
PORTSMOUTH, OH 456622927
7403567290
SOMC MEDICAL CARE FOUNDATION, INC.
1248 KINNEYS LN, SUITE B
PORTSMOUTH, OH 456622927
7403567290
Source: CMS National Downloadable File, September 2026.