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Organization

COMMONWEALTH HEALTH CORPORATION

Active
Other names
ATTENDING PHYSICIANS CHANI, MULLICK & GRAU
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD G. SOWELL (EXECUTIVE VICE PRESIDENT)
(270) 745-1536
Entity
Organization

Contact information

Practice address
350 PARK ST, SUITE 204, BOWLING GREEN, KY 42101-1784
(270) 843-5103
(270) 843-5104
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1467
(270) 745-1156

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65931776
KY
Enumeration date
07/04/2006
Last updated
09/07/2007
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