Organization
GLENN R. WOMACK M.D. PSC
Active
Other names
Buffalo Trace Family Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN R WOMACK M.D. (PRESIDENT)
(606) 849-2323
Entity
Organization
Contact information
Practice address
732 ELIZAVILLE ROAD, FLEMINGSBURG, KY 41041
(606) 849-2323
(606) 849-2025
Mailing address
PO BOX 344, FLEMINGSBURG, KY 41041-0344
(606) 849-2323
(606) 849-2025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15952
KY
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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