Organization
GREENVIEW PRIMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANDERSON (PRACTICE MANAGER)
(270) 901-3454
Entity
Organization
Contact information
Practice address
1325 ANDREA ST, SUITE 100, BOWLING GREEN, KY 42104-5852
(270) 901-3454
(270) 901-3458
Mailing address
1325 ANDREA ST, SUITE 100, BOWLING GREEN, KY 42104-5852
(270) 901-3454
(270) 901-3458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25071
KY
207R00000X
Internal Medicine Physician
Primary
37656
KY
208000000X
Pediatrics Physician
37656
KY
Other
Enumeration date
11/08/2012
Last updated
07/04/2013
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