Organization · Type 2 NPI
Georgetown Integrated Medicine PSC
Adult Medicine Physician · Georgetown, KY
NPI number
1346640208
Active
Practice location
108 Osbourne Way, Suite 6
Georgetown, KY 40324-8887
Mailing address
7975 Solution Ctr
Chicago, IL 60677-7009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 36483 (KY) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1346640208
Georgetown Integrated Medicine PSC's National Provider Identifier is 1346640208, issued on Aug 28, 2014. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Georgetown, KY. The record was last updated on Sep 16, 2015.