Georgetown Medical, LLC
NPI #1063824381 in Georgetown, Kentucky
Provider Information
- NPI Number
- 1063824381
- Entity Type
- Organization
- Organization Name
- Georgetown Medical, LLC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- May 21, 2014
- Last Updated
- Sep 9, 2021
Practice Location
- Address
- 105 EASTSIDE DR
- City
- Georgetown
- State
- Kentucky
- ZIP Code
- 40324-9797
- Phone
- (502) 868-0664
Authorized Official
- Name
- ROBYN TANIS
- Title
- EXECUTIVE DIRECTOR OF CONTRACT MGMT
- Phone
- (856) 533-8762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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