Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 34.004937 | OH |
NPI | 1114003001 |
---|---|
Provider Name | Dr. Janet Griffith Marnejon |
First Address | Columbiana, OH 44408-8490 |
Second Address | Columbiana, OH 44408-8490 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 25/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0802171 | (05) | OH |
H315070 | MEDICARE PTAN (01) | OH |