Organization
PRIMARY CARE ASSOCIATES OF WILLIAMSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSIE N BONO (ACCOUNTS REPRESENTATIVE)
(606) 237-0053
Entity
Organization
Contact information
Practice address
306 HOSPITAL DR, SUITE 105, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-0053
(606) 237-8485
Mailing address
306 HOSPITAL DR, SUITE 105, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-0053
(606) 237-8485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02231
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010395000
—
WV
Enumeration date
12/28/2006
Last updated
08/22/2020
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