Georgetown Medical, Llc

NPI 1063824381 - Clinic/Center - 261QM2800X

NPI Details
NPI 1063824381
Enumeration Date 05/21/2014
Last Updated 05/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SCOTT SCOTT
Position TREASURER
Phone (502) 868-0664
Fax
Practice Location
105 EASTSIDE DR
SUITES A, B, AND C
GEORGETOWN KY, 40324-9797, US
Phone (502) 868-0664
Fax
Business Location
3121 SMALLMAN ST
PITTSBURGH PA, 15201-1425, US
Phone (412) 281-5303
Fax
Toxanomy
Taxonomy Code 261QM2800X
License State Kentucky
License Number 810355
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According to our database, Georgetown Medical, Llc NPI is 1063824381, taxonomy code is 261QM2800X and license number is 810355, license state is located at Kentucky. Georgetown Medical, Llc physically located at 105 Eastside Dr, Georgetown KY, 40324-9797. NPI Number 1033115704 has the healthcare provider type.

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1063824381 NPI number is provided on an as is basis without warranty of any kind. 1063824381 is maintained by the National Plan & Provider Enumeration System. The contents of Georgetown Medical, Llc are for informational purposes only.