| My 3 C's Enterprises, Pllc | |
|
1704 W Stockton St Edmonton KY 42129-8137 | |
| (270) 432-4800 | |
| (270) 432-4804 |
| Full Name | My 3 C's Enterprises, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1704 W Stockton St, Edmonton, Kentucky |
| Authorized Official Name and Position | Tiffany Nichole Dunagan (BILLING MANAGER) |
| Authorized Official Contact | 2704324800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My 3 C's Enterprises, Pllc 1704 W Stockton St Edmonton KY 42129-8137 Ph: (270) 432-4800 | My 3 C's Enterprises, Pllc 1704 W Stockton St Edmonton KY 42129-8137 Ph: (270) 432-4800 |
| NPI Number | 1902027865 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902027865 | NPI | - | NPPES |
| 000000259528 | Other | KY | BLUE CROSS |
| 64029440 | Medicaid | KY | |
| 000000259528 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 35818 (Kentucky) | Primary |
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John W Drury, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
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Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Randolph Street, Edmonton, KY 42129 Phone: 844-435-0900 Fax: 270-858-4029 | |
Edmonton Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 W Stockton St, Edmonton, KY 42129 Phone: 270-432-5782 Fax: 270-432-0001 | |
T J Health Edmonton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
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