Organization
WAYNE COUNTY SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN BRANSCUM (BUSINESS OFFICE MANAGER)
(606) 340-3222
Entity
Organization
Contact information
Practice address
1 S CREEK DR STE 112, MONTICELLO, KY 42633-9472
(606) 348-3341
(606) 348-0005
Mailing address
166 HOSPITAL ST, MONTICELLO, KY 42633-2430
(606) 340-3222
(606) 340-3258
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/30/2020
Last updated
06/03/2025
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