Organization
GASTROENTEROLOGY ASSOCIATES OF HAZARD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMILA SHANKAR (PRACTICE MANAGER)
(606) 439-3952
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER DR, SUITE 2B, HAZARD, KY 41701-9466
(606) 439-3952
(606) 439-0154
Mailing address
200 MEDICAL CENTER DR, SUITE 2B, HAZARD, KY 41701-9466
(606) 439-3952
(606) 439-0154
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100073840
—
KY
Enumeration date
02/23/2006
Last updated
01/04/2012
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