Organization
FAYETTE FAMILY MEDICINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA SKAGGS M.D. (PRESIDENT)
(859) 276-5566
Entity
Organization
Contact information
Practice address
1780 NICHOLASVILLE RD STE 604, BLDG B, LEXINGTON, KY 40503-1440
(859) 276-5566
(859) 276-5562
Mailing address
1780 NICHOLASVILLE RD STE 604, BLDG B, LEXINGTON, KY 40503-1440
(859) 276-5566
(859) 276-5562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34084
KY
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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