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Organization
BLUEGRASS DIRECT PRIMARY CARE
Active
Organization
BLUEGRASS DIRECT PRIMARY CARE
Active
Other names
Bluegrass Direct Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLTON JAYNE MD (PHYSICIAN/ OWNER)
(859) 710-6300
Entity
Organization
Contact information
Practice address
227 E MAIN ST, GEORGETOWN, KY 40324-1711
(606) 424-3068
Mailing address
227 E MAIN ST, GEORGETOWN, KY 40324-1711
(606) 424-3068
(843) 288-4139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/06/2023
Last updated
09/13/2023
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