Organization
FAMILY HEALTH CARE ASSOCIATES OF WILLIAMSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA LYNN GOOD ARNP (CLINIC OWNER)
(605) 546-7777
Entity
Organization
Contact information
Practice address
965 SOUTH HWY 25, STE 52, WILLIAMSBURG, KY 40769
(606) 549-8780
(606) 549-8779
Mailing address
P.O. BOX 1535, BARBOURVILLE, KY 40906
(606) 549-8780
(606) 549-8779
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3568P
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100059130
—
KY
05
—
7100063160
—
KY
Enumeration date
10/21/2008
Last updated
12/23/2009
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