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Organization

EADENS-GRIMBALL INTERNAL MEDICINE ASSOCIATES

Active
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Organization

EADENS-GRIMBALL INTERNAL MEDICINE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBRA JO EADENS M.D. (PHYSICIAN/OFFICE MANAGER)
(606) 451-9953
Entity
Organization

Contact information

Practice address
402 BOGLE ST, STE 3, SOMERSET, KY 42503-2870
(606) 451-9953
(606) 451-1533
Mailing address
402 BOGLE ST, STE 3, SOMERSET, KY 42503-2870
(606) 451-9953
(606) 451-1533

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100049580
KY
Enumeration date
10/10/2006
Last updated
02/16/2015
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