| Golden Coast Management Inc | |
|
455 S 4th St Louisville KY 40202-2593 | |
| (502) 403-4164 | |
| Not Available |
| Full Name | Golden Coast Management Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 455 S 4th St, Louisville, Kentucky |
| Authorized Official Name and Position | Gary V James (CEO) |
| Authorized Official Contact | 5024034164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Coast Management Inc 455 S 4th St Louisville KY 40202-2593 Ph: () - | Golden Coast Management Inc 455 S 4th St Louisville KY 40202-2593 Ph: (502) 403-4164 |
| NPI Number | 1841430469 |
|---|---|
| Provider Enumeration Date | 02/21/2009 |
| Last Update Date | 03/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841430469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20690 (Kentucky) | Primary |
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