| Vaxcare Georgia Llc | |
|
989 Governors Ln Suite 160 Lexington KY 40513-1173 | |
| (859) 514-5547 | |
| (859) 514-7084 |
| Full Name | Vaxcare Georgia Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 989 Governors Ln, Lexington, Kentucky |
| Authorized Official Name and Position | Casey Deloach (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaxcare Georgia Llc 4401 S Orange Ave Suite 117 Orlando FL 32806-6946 Ph: (888) 829-8550 | Vaxcare Georgia Llc 989 Governors Ln Suite 160 Lexington KY 40513-1173 Ph: (859) 514-5547 |
| NPI Number | 1154620110 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154620110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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