NPI 1063078749
Impact Physician Group, Ohio LLC
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
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.