Organization
PROFESSIONAL MEDICAL HEALTH CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY HARRIS (CFO)
(606) 218-3500
Entity
Organization
Contact information
Practice address
1500 MAIN STREET, INEZ, KY 41224
(606) 218-3500
(606) 218-4560
Mailing address
1500 MAIN STREET, INEZ, KY 41224
(606) 218-3500
(606) 218-4560
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
730055
KY
Other
Enumeration date
12/02/2005
Last updated
09/08/2008
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