Organization
GARRARD CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA HARDWICK (OFFICE MANAGER)
(859) 792-2124
Entity
Organization
Contact information
Practice address
405 DANVILLE ST, LANCASTER, KY 40444-1150
(859) 792-2124
Mailing address
870 CORPORATE DR, SUITE 400, LEXINGTON, KY 40503-5416
(859) 277-9436
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65922965
—
KY
05
—
78905049
—
KY
Enumeration date
07/07/2006
Last updated
05/07/2008
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