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Individual

GUINN SHAW COST JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
132 SARA'S LANE, GREENVILLE, KY 42345
(270) 338-5297
Mailing address
132 SARA'S LANE, GREENVILLE, KY 42345
(270) 338-5297

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16776
KY

Other

Enumeration date
02/26/2007
Last updated
09/05/2019
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