Organization
ADVANCED SURGICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE SMITH M.D. (PRESIDENT)
(859) 426-7000
Entity
Organization
Contact information
Practice address
20 MEDICAL VILLAGE DR, SUITE 105, EDGEWOOD, KY 41017-5401
(859) 426-7000
(859) 426-7010
Mailing address
20 MEDICAL VILLAGE DR, SUITE 105, EDGEWOOD, KY 41017-5401
(859) 426-7000
(859) 426-7010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65934176
—
KY
Enumeration date
03/29/2007
Last updated
07/21/2022
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