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Organization

TAYLOR REGIONAL MEDICAL GROUP,LLC

Active
Other names
Taylor Regional Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MASSENGALE (CFO)
(270) 465-3561
Entity
Organization

Contact information

Practice address
1698 OLD LEBANON RD, SUITE 2A, CAMPBELLSVILLE, KY 42718-9662
(270) 789-6116
(270) 789-6119
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9662
(270) 789-0587

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
07/14/2011
Last updated
11/28/2011
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