# GEORGETOWN FAMILY PHYSICIANS, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306924535
- **Authorized official:** DR. RAYMOND WECHMAN JR. M.D (PHYSICIAN)
- **Authorized official phone:** (502) 867-0222

## Contact information

- **Practice address:** 1138 LEXINGTON RD STE 130, GEORGETOWN, KY 40324-9673
- **Practice address phone:** (502) 867-0222
- **Practice address fax:** (502) 867-0420
- **Mailing address:** 1138 LEXINGTON RD STE 130, GEORGETOWN, KY 40324-9673
- **Mailing address phone:** (502) 867-0222
- **Mailing address fax:** (502) 867-0420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 07/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65923146 | — | KY |