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Organization
GLENN R. WOMACK M.D. PSC
Active
Organization
GLENN R. WOMACK M.D. PSC
Active
Other names
Buffalo Trace Family Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN R WOMACK M.D. (PRESIDENT)
(606) 849-2323
Entity
Organization
Contact information
Practice address
732 ELIZAVILLE ROAD, FLEMINGSBURG, KY 41041
(606) 849-2323
(606) 849-2025
Mailing address
732 ELIZAVILLE ROAD, PO BOX 344, FLEMINGSBURG, KY 41041
(606) 849-2323
(606) 849-2025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15952
KY
Other
Enumeration date
07/03/2006
Last updated
05/21/2013
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