Organization
GRAYSON ALTERNATE MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K APHREM DO (OWNER)
(606) 694-1894
Entity
Organization
Contact information
Practice address
130 S HORD ST, GRAYSON, KY 41143-1450
(606) 694-1894
Mailing address
3311 LEFFINGWELL CT, ASHLAND, KY 41102-5862
(606) 694-1894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100024360
—
KY
Enumeration date
03/10/2011
Last updated
03/10/2011
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