Organization
MDSRUS LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA GOOD APRN (OWNER)
(606) 546-7777
Entity
Organization
Contact information
Practice address
1927 S US HIGHWAY 25E, BARBOURVILLE, KY 40906-7600
(606) 546-7777
Mailing address
PO BOX 1535, BARBOURVILLE, KY 40906-5535
(606) 546-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
05/18/2023
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