Organization
INTEGRITY MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUEL F TIPTON PA (OWNER)
(859) 801-9049
Entity
Organization
Contact information
Practice address
2384 PETERSBURG RD, HEBRON, KY 41048-9557
(859) 801-9049
(859) 689-1188
Mailing address
PO BOX 228, HEBRON, KY 41048-0228
(859) 801-9049
(859) 689-1188
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
04/27/2012
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