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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