Individual
DR. JAMES E EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 GREENBRIAR DR, SUITE A, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3595
(270) 789-2044
Mailing address
105 GREENBRIAR DR, SUITE A, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3595
(270) 789-2044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29697
KY
207Y00000X
Otolaryngology Physician
Primary
29697
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931966
—
KY
01
—
CG2235
RAILROAD MEDICARE
KY
Enumeration date
10/19/2005
Last updated
01/10/2013
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