Organization
C. MICHAEL LITTLEJOHN, MD, PSC
Active
Organization
C. MICHAEL LITTLEJOHN, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MICHAEL LITTLEJOHN MD (PHYSICIAN)
(270) 365-3343
Entity
Organization
Contact information
Practice address
1100 S JEFFERSON ST, PRINCETON, KY 42445-2379
(270) 365-3343
(270) 365-4467
Mailing address
1100 S JEFFERSON ST, PRINCETON, KY 42445-2379
(270) 365-3343
(270) 365-4467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30506
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64305063
—
KY
Enumeration date
09/26/2006
Last updated
11/07/2010
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