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Organization

PURCHASE GASTROENTEROLOGY ASSOCIATES PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANNON LASHAEY THOMPSON (OFFICE MANAGER)
(270) 251-4575
Entity
Organization

Contact information

Practice address
1029 MEDICAL CENTER CIRCLE, STE 306, MAYFIELD, KY 42066
(270) 251-4575
(270) 251-4577
Mailing address
1029 MEDICAL CENTER CIRCLE, STE 306, MAYFIELD, KY 42066
(270) 251-4575
(270) 251-4577

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
30255
KY
207RG0100X
Gastroenterology Physician
Primary
41420
KY
363LF0000X
Family Nurse Practitioner
3005111
KY
364SA2200X
Adult Health Clinical Nurse Specialist
3004998
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65943284
KY
05
7100234660
KY
Enumeration date
04/06/2006
Last updated
01/12/2015
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