# SURGICAL GROUP OF PADUCAH P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** surgical group p.s.c.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841236809
- **Authorized official:** CINDY FORTHMAN (BUSINESS MANAGER)
- **Authorized official phone:** (270) 538-9555

## Contact information

- **Practice address:** 2601 KENTUCKY AVE, DOCTOR BLDG. 1 SUITE 201, PADUCAH, KY 42003-8468
- **Practice address phone:** (270) 538-9555
- **Practice address fax:** (270) 538-9554
- **Mailing address:** PO BOX 8468, PADUCAH, KY 42002-8468
- **Mailing address phone:** (270) 538-9555
- **Mailing address fax:** (270) 538-9554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 05/02/2016