Organization
GLENN R WOMACK MD PSC
Active
Other names
Buffalo Trace Family Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN R WOMACK MD (PRESIDENT)
(606) 849-2323
Entity
Organization
Contact information
Practice address
732 ELIZAVILLE ROAD, FLEMINGSBURG, KY 41041
(606) 849-2323
(606) 849-2025
Mailing address
732 ELIZAVILLE ROAD, PO BOX 344, FLEMINGSBURG, KY 41041
(606) 849-2323
(606) 849-2025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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