| Center For Skin & Thyroid Pllc | |
|
218 S Maple St Winchester KY 40391-2494 | |
| (859) 745-2861 | |
| (859) 745-1978 |
| Full Name | Center For Skin & Thyroid Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 218 S Maple St, Winchester, Kentucky |
| Authorized Official Name and Position | Marvin A Bishop (M.D.) |
| Authorized Official Contact | 8597452861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Skin & Thyroid Pllc 218 S Maple St Winchester KY 40391-2494 Ph: (859) 745-2861 | Center For Skin & Thyroid Pllc 218 S Maple St Winchester KY 40391-2494 Ph: (859) 745-2861 |
| NPI Number | 1790249928 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 9537409602 |
|---|---|
| Medicare Enrollment ID | O20190327003086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790249928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Marvin Arnold Bishop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578533766 PECOS PAC ID: 1658567235 Enrollment ID: I20101122000612 |
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