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Organization

JOSEPH TYE PREWITT

Active
Other names
BAPTIST CARDIOLOGY OF CORBIN
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHAWNTAY GILMORE (BILLING OFFICE MANAGER)
(606) 526-8122
Entity
Organization

Contact information

Practice address
15 MOONBOW PLZ, CORBIN, KY 40701-8949
(606) 528-5331
(606) 528-3223
Mailing address
3454 E LAUREL RD, LONDON, KY 40741-6871
(606) 231-8437

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TC127
KY

Other

Enumeration date
08/20/2012
Last updated
08/21/2012
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