Organization
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Active
Other names
Russell County Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MILLER (DIRECTOR)
(615) 920-7514
Entity
Organization
Contact information
Practice address
72 JOE T PETTY DR, RUSSELL SPRINGS, KY 42642-8533
(270) 866-7771
(270) 866-7774
Mailing address
PO BOX 719, SOMERSET, KY 42502-0719
(270) 866-7771
(270) 866-7774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/06/2014
Last updated
09/27/2017
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