Individual
MR. CHRISTOPHER WAYNE MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1125 BEWLEY HOLLOW RD, ELIZABETHTOWN, KY 42701-6414
(270) 769-0750
Mailing address
1125 BEWLEY HOLLOW RD, ELIZABETHTOWN, KY 42701-6414
(270) 769-0750
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA181
KY
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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