Cumberland Gastroenterology, P.s.c. | |
1 Southcreek Drive Monticello KY 42633 | |
(606) 677-2913 | |
(606) 677-6983 |
Full Name | Cumberland Gastroenterology, P.s.c. |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1 Southcreek Drive, Monticello, Kentucky |
Authorized Official Name and Position | Samir Issa Cook (PRESIDENT) |
Authorized Official Contact | 6066772913 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cumberland Gastroenterology, P.s.c. 56 Tower Circle Somerset KY 42503 Ph: (606) 677-2913 | Cumberland Gastroenterology, P.s.c. 1 Southcreek Drive Monticello KY 42633 Ph: (606) 677-2913 |
NPI Number | 1720160526 |
---|---|
Provider Enumeration Date | 10/20/2006 |
Last Update Date | 03/24/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720160526 | NPI | - | NPPES |
64384712 | Medicaid | KY | |
65933517 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 34871 (Kentucky) | Primary |
363L00000X | Nurse Practitioner | 2617P (Kentucky) | Secondary |