| 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 |
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