Organization
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Active
Other names
Clark Regional Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 202-9581
Entity
Organization
Contact information
Practice address
120 PROFESSIONAL AVE, WINCHESTER, KY 40391-1116
(859) 744-2485
(859) 744-0062
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7905
(615) 920-8935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
09/27/2017
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