Organization
GENERATIONS PRIMARY CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN M LANGSTON (PRACTICE MANAGER)
(270) 887-6767
Entity
Organization
Contact information
Practice address
270 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 887-6767
(270) 887-6161
Mailing address
270 BURLEY AVE, HOPKINSVILLE, TN 42240
(270) 887-6767
(270) 887-6161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/09/2010
Last updated
04/26/2018
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