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1070 Smith Grove Rd Scottsville KY 42164-9444 | |
(270) 239-6024 | |
(270) 239-6060 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1070 Smith Grove Rd, Scottsville, Kentucky |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 1070 Smith Grove Rd Scottsville KY 42164-9444 Ph: (270) 239-6024 |
NPI Number | 1669010112 |
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Provider Enumeration Date | 12/16/2019 |
Last Update Date | 09/15/2022 |
Identifier | Type | State | Issuer |
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1669010112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Agape Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Old Gallatin Rd, Scottsville, KY 42164 Phone: 270-239-1400 Fax: 270-239-1402 | |