Organization
FAMILY MEDICAL SPECIALTY CLINIC D.B.A.
Active
Other names
SAINT MARK'S FAMILY AND SPECIALTY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE ABADILLA M.D. (PARTNER)
(606) 666-7040
Entity
Organization
Contact information
Practice address
95 JACKSON HTS, JACKSON, KY 41339-6500
(606) 693-0199
(606) 693-0299
Mailing address
4 JACKSON HTS, JACKSON, KY 41339-6500
(606) 666-7040
(606) 666-7088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000904
—
KY
Enumeration date
12/14/2006
Last updated
04/15/2008
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