Family Practice Of Greenville Psc

NPI 1891813986 - Family Medicine - 207Q00000X

NPI Details
NPI 1891813986
Enumeration Date 03/27/2007
Last Updated 01/04/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARSHALL EDWARD MARSHALL
Position CEO PHYSICIAN OWNER
Phone (270) 338-0600
Fax (270) 338-0605
Practice Location
601 GREENE DR
GREENVILLE KY, 42345-1451, US
Phone (270) 338-0600
Fax (270) 338-0605
Business Location
601 GREENE DR
FAMILY PRACTICE OF GREENVILLE PSC
GREENVILLE KY, 42345-1451, US
Phone (270) 338-0600
Fax (270) 338-0605
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number 22988
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According to our database, Family Practice Of Greenville Psc NPI is 1891813986, taxonomy code is 207Q00000X and license number is 22988, license state is located at Kentucky. Family Practice Of Greenville Psc physically located at 601 Greene Dr, Greenville KY, 42345-1451. NPI Number 1033115704 has the healthcare provider type.

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1891813986 NPI number is provided on an as is basis without warranty of any kind. 1891813986 is maintained by the National Plan & Provider Enumeration System. The contents of Family Practice Of Greenville Psc are for informational purposes only.