Organization
FAMILY MEDICAL HEALTHCARE CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLELLA L HAYES MD (OWNER)
(270) 487-0701
Entity
Organization
Contact information
Practice address
477 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-0701
(270) 487-0800
Mailing address
477 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-0701
(270) 487-0800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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