Organization
BIBB ADDICTION & OBESITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARTER (BILLING MANAGER)
(859) 737-0904
Entity
Organization
Contact information
Practice address
365 WALLER AVE STE 100, LEXINGTON, KY 40504-2924
(859) 309-1829
Mailing address
365 WALLER AVE STE 100, LEXINGTON, KY 40504-2924
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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