Organization
DOCTOR'S HEALTH & WEIGHTLOSS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL B PEDDICORD MD (COOWNER/PHYSICIAN)
(606) 387-0323
Entity
Organization
Contact information
Practice address
102 N WASHINGTON ST, ALBANY, KY 42602-1302
(606) 387-2025
(606) 387-9665
Mailing address
102 N WASHINGTON ST, ALBANY, KY 42602-1302
(606) 387-2025
(606) 387-9665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100585770
—
KY
Enumeration date
11/15/2018
Last updated
06/20/2019
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