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Organization

PHYSICIAN SERVICES GROUP

Active
Other names
Physician Services Group, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE G FAULKNER (CHIEF OPERATIONS OFFICER)
(423) 332-5155
Entity
Organization

Contact information

Practice address
6009 BROWNSBORO PARK BLVD, UNIT A, LOUISVILLE, KY 40207-1291
(502) 253-6881
(502) 253-6882
Mailing address
9736 DAYTON PIKE, SUITE A, SODDY DAISY, TN 37379-4727
(423) 332-5155
(423) 332-5195

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
02/03/2013
Last updated
04/10/2013
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