| Archer Clinic Associates | |
|
400 University Dr Suite 103 Prestonburg KY 41653 | |
| (606) 886-3887 | |
| (606) 886-3818 |
| Full Name | Archer Clinic Associates |
|---|---|
| Speciality | General Practice |
| Location | 400 University Dr, Prestonburg, Kentucky |
| Authorized Official Name and Position | Charles Jerome Hieronymus (PARTNER) |
| Authorized Official Contact | 6068863887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archer Clinic Associates 400 University Drive Suite 103 Prestonburg KY 41653 Ph: (606) 886-3888 | Archer Clinic Associates 400 University Dr Suite 103 Prestonburg KY 41653 Ph: (606) 886-3887 |
| NPI Number | 1770773525 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770773525 | NPI | - | NPPES |
| 1002252 | Other | UNITED MINE WORKERS OF AM | |
| 000000046040 | Other | BLUE CROSS BLUE SHIELD | |
| 16846 | Other | KY LICENSE NUMBER | |
| 103141 | Other | BLACK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Kentucky) | Primary |
Internal Medicine Of Eastern Kentucky Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Rt 321, Suite 3102, Prestonburg, KY 41653 Phone: 606-886-7645 Fax: 606-886-7427 |