Organization
EP MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R EASTRIDGE PHARMD (OWNER/AUTHORIZED OFFICIAL)
(270) 403-9333
Entity
Organization
Contact information
Practice address
500 N BYPASS RD STE C, CAMPBELLSVILLE, KY 42718-7792
(270) 789-0577
(270) 789-0578
Mailing address
500 N BYPASS RD STE C, CAMPBELLSVILLE, KY 42718-7792
(270) 789-0577
(270) 789-0578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/14/2022
Last updated
04/18/2024
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