Whalio Doctors

NPI 1063078749

Impact Physician Group, Ohio LLC

Organisation Internal Medicine Physician Beachwood, OH

Practice location

Address
23333 Harvard Rd, Beachwood, OH 44122-6232
Phone
(216) 593-2200
Mailing address
21 Eastbrook Bnd STE 218, Peachtree City, GA 30269-1546

Authorised official

Name
Paul Miller
Title
Ceo
Phone
(678) 967-5599

Registered specialties

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Registry record

NPI
1063078749
Entity type
Organization
NPI issued
17 May 2019
Record last updated
19 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.