Graduated: 2002
NPI: 1962692103
Practice Locations (2)
MOUNT CARMEL HEALTHPROVIDERS TWO LLC
5300 N MEADOWS DR, SUITE 280
GROVE CITY, OH 431232546
6147518846
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST
NEWARK, OH 430551822
2205644000
Source: CMS National Downloadable File, September 2026.