Organization
FLEMING REGIONAL MEDICAL IMAGING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN R WOMACK MD (PHYSICIAN/OWNER)
(606) 849-2323
Entity
Organization
Contact information
Practice address
730 ELIZAVILLE RD, FLEMINGSBURG, KY 41041
(606) 845-0145
Mailing address
PO BOX 344, FLEMINGSBURG, KY 41041
(606) 845-0145
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100010340
—
KY
Enumeration date
04/03/2007
Last updated
08/28/2013
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