Organization
SOLID GROUND WELLNESS CENTERS, LLC
Active
Other names
Solid Ground Wellness Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CAUDILL (ADMINISTRATOR)
(606) 223-5119
Entity
Organization
Contact information
Practice address
14 LOGAN DR, JEFF, KY 41751-9038
(606) 487-0351
Mailing address
PO BOX 630, HAZARD, KY 41702-0630
(606) 373-4887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100671360
—
KY
Enumeration date
03/25/2020
Last updated
12/01/2022
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