| Grayson Alternate Medicine Center | |
|
130 S Hord St Grayson KY 41143-1450 | |
| (606) 694-1894 | |
| Not Available |
| Full Name | Grayson Alternate Medicine Center |
|---|---|
| Speciality | Family Medicine |
| Location | 130 S Hord St, Grayson, Kentucky |
| Authorized Official Name and Position | James K Aphrem (OWNER) |
| Authorized Official Contact | 6066941894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grayson Alternate Medicine Center 3311 Leffingwell Ct Ashland KY 41102-5862 Ph: (606) 694-1894 | Grayson Alternate Medicine Center 130 S Hord St Grayson KY 41143-1450 Ph: (606) 694-1894 |
| NPI Number | 1104124452 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104124452 | NPI | - | NPPES |
| 7100024360 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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