City Of Georgetown | |
108 Osbourne Way Ste 7 Georgetown KY 40324-9693 | |
(502) 570-2903 | |
(502) 570-2904 |
Full Name | City Of Georgetown |
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Speciality | Clinic/center - Multi-specialty |
Location | 108 Osbourne Way Ste 7, Georgetown, Kentucky |
Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
Authorized Official Contact | 6154686270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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City Of Georgetown 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | City Of Georgetown 108 Osbourne Way Ste 7 Georgetown KY 40324-9693 Ph: (502) 570-2903 |
NPI Number | 1558037960 |
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Provider Enumeration Date | 08/17/2021 |
Last Update Date | 11/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558037960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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