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
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 - MethadoneMethadone

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