| Great Physician Health Services | |
|
975 Hopkinsville Rd Russellville KY 42276-9774 | |
| (270) 726-9568 | |
| (270) 726-9570 |
| Full Name | Great Physician Health Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 975 Hopkinsville Rd, Russellville, Kentucky |
| Authorized Official Name and Position | Michael Brian Humble (OWNER) |
| Authorized Official Contact | 2707269568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Physician Health Services 975 Hopkinsville Rd Russellville KY 42276-9774 Ph: (270) 726-9568 | Great Physician Health Services 975 Hopkinsville Rd Russellville KY 42276-9774 Ph: (270) 726-9568 |
| NPI Number | 1013145705 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013145705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42900 (Kentucky) | Primary |
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