Organization
PLASTIC SURGERY CENTER, INC
Active
Other names
Plastic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY M SMITH (PRACTICE MANAGER)
(270) 245-2105
Entity
Organization
Contact information
Practice address
1851 N MAIN ST, MADISONVILLE, KY 42431-9024
(270) 245-2105
(270) 452-2355
Mailing address
1851 N MAIN ST, MADISONVILLE, KY 42431-9024
(270) 245-2105
(270) 452-2355
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
41340
KY
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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