Gus A Bynum M.D.

NPI 1023016391 - Family Medicine - 207Q00000X

NPI Details
NPI 1023016391
Gender Male
Enumeration Date 07/12/2005
Last Updated 12/03/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1154A LEXINGTON RD
GEORGETOWN KY, 40324-9330, US
Phone (502) 868-0008
Fax
Business Location
1154A LEXINGTON RD
GEORGETOWN KY, 40324-9330, US
Phone (502) 868-0008
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number 16936
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According to our database, Dr. Gus A Bynum M.D. NPI is 1023016391, taxonomy code is 207Q00000X and license number is 16936, license state is located at Kentucky. Gus A Bynum M.D. physically located at 1154a Lexington Rd, Georgetown KY, 40324-9330. NPI Number Gus A Bynum M.D. has the Individual type.

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1023016391 NPI number is provided on an as is basis without warranty of any kind. 1023016391 is maintained by the National Plan & Provider Enumeration System. The contents of Gus A Bynum M.D. are for informational purposes only.