Organization
PRIORITY CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE A MANLEY FNP (OWNER)
(931) 302-9564
Entity
Organization
Contact information
Practice address
175 STATELINE RD, OAK GROVE, KY 42262-8288
(270) 302-9564
Mailing address
PO BOX 1371, HOPKINSVILLE, KY 42241-1371
(931) 302-9564
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006470
KY
Other
Enumeration date
09/20/2011
Last updated
04/05/2014
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