Organization
C FRED GOTT M.D.
Active
Organization
C FRED GOTT M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BEDARD (PRACTICE MANAGER)
(270) 782-7464
Entity
Organization
Contact information
Practice address
191 W PROFESSIONAL PARK CT, BOWLING GREEN, KY 42104-3230
(270) 782-7464
(270) 782-8025
Mailing address
PO BOX 1078, BOWLING GREEN, KY 42102-1078
(270) 782-7464
(270) 782-8025
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
20987
KY
Other
Enumeration date
12/26/2006
Last updated
06/13/2008
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