Organization
CLUBMD, LLC
Active
Parent organization
CMD HOLDING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CMD HOLDING, LLC
Authorized official
ERIC WARREN BLETZINGER (VICE PRESIDENT)
(270) 780-2825
Entity
Organization
Contact information
Practice address
1065 ASHLEY ST, SUITE 200, BOWLING GREEN, KY 42103-3400
(270) 467-0010
Mailing address
PO BOX 1094, BOWLING GREEN, KY 42102-1094
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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