Organization
SUPPORTIVE MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERI JONES CRAFT (OWNER/DIRECTOR)
(606) 324-0334
Entity
Organization
Contact information
Practice address
1224 HOODS CREEK PIKE, ASHLAND, KY 41101-7220
(606) 324-0334
(606) 324-0447
Mailing address
1224 HOODS CREEK PIKE, ASHLAND, KY 41101-7220
(606) 324-0334
(606) 324-0447
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
010417 1
KY
Other
Enumeration date
12/28/2016
Last updated
02/23/2017
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