Organization
ELKTON CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOJ H MAJMUDAR MD (OWNER)
(270) 886-8840
Entity
Organization
Contact information
Practice address
713 W MAIN ST, ELKTON, KY 42220-9229
(270) 265-5353
Mailing address
PO BOX 487, ELKTON, KY 42220-0487
(270) 265-5353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/27/2010
Last updated
03/24/2011
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