Geriatric Essentials, Pc | |
402 W Farthing St Mayfield KY 42066-2900 | |
(731) 571-8808 | |
Not Available |
Full Name | Geriatric Essentials, Pc |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 402 W Farthing St, Mayfield, Kentucky |
Authorized Official Name and Position | Susan K Lovelace (BILLING/CREDENTIALING) |
Authorized Official Contact | 7314107719 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Geriatric Essentials, Pc Po Box 12432 Jackson TN 38308-0141 Ph: (731) 410-7719 | Geriatric Essentials, Pc 402 W Farthing St Mayfield KY 42066-2900 Ph: (731) 571-8808 |
NPI Number | 1043812696 |
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Provider Enumeration Date | 11/09/2020 |
Last Update Date | 11/09/2020 |
Certification Date | 11/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043812696 | NPI | - | NPPES |
7100689200 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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