Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
MED CENTER HEALTH VEIN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GENE SOWELL (EXEC. VICE PRESIDENT)
(270) 745-1510
Entity
Organization
Contact information
Practice address
825 2ND AVE STE B2, BOWLING GREEN, KY 42101-1790
(270) 796-3535
(270) 467-2609
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 796-3535
(270) 467-2609
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/01/2018
Last updated
09/30/2019
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