Organization
CARROLLTON INTERNAL MEDICINE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREE LYNN PHELPS CPC (OFFICE MANAGER)
(502) 525-2168
Entity
Organization
Contact information
Practice address
307 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-9922
(502) 732-9050
Mailing address
PO BOX 266, CARROLLTON, KY 41008-0266
(502) 732-9922
(502) 732-9050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2007
Last updated
09/23/2007
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