Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
The Medical Center Weight Loss Program
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G. SOWELL (EXECUTIVE VICE PRESIDENT)
(270) 745-1536
Entity
Organization
Contact information
Practice address
825 2ND AVE, SUITE A4, BOWLING GREEN, KY 42101-1786
(270) 796-6333
(270) 796-6564
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1100
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/29/2011
Last updated
09/28/2018
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