SHADYSIDE CLINIC, LLC is a primary care clinic center in Shadyside, OH. SHADYSIDE CLINIC, LLC NPI is 1093183204. The provider is registered as an organization entity type.
The provider's business location address is:
3948 CENTRAL AVE
SHADYSIDE, OH
ZIP 43947-310
Phone: (740) 298-2475
The provider's authorized official is Lindsay Twarog .
The authorized official title is Nurse Practitioner And Owner and has the following contact phone number (740) 298-2475.
The CLIA number assigned to this NPI record is 36D2102090 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/3/2015 and was last updated on 9/3/2015.