Organization
WOLFE COUNTY CLINICS
Active
Other names
Jackson Cardiology and Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYED ATIF AFTAB ALI (PRACTICE MANAGER)
(606) 668-6932
Entity
Organization
Contact information
Practice address
1389 HIGHWAY 15 N, JACKSON, KY 41339-7015
(606) 668-3925
Mailing address
1389 HIGHWAY 15 N, JACKSON, KY 41339-7015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65943359
—
KY
01
—
9496
MEDICARE GROUP
—
Enumeration date
06/05/2009
Last updated
10/07/2009
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