Organization
BLUEGRASS MEDICAL ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GEORGE MD (PARTNER)
(859) 223-2425
Entity
Organization
Contact information
Practice address
210 MALABU DR, SUITE 212, LEXINGTON, KY 40502-3252
(859) 223-2425
(859) 224-8579
Mailing address
2301 RIVER RD, SUITE 300, LOUISVILLE, KY 40206-1010
(502) 814-3175
(502) 426-5493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65933087
—
KY
01
—
CI922
RAILROAD MEDICARE KY
KY
Enumeration date
07/20/2005
Last updated
07/21/2022
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