E-Town Neurosurgery LLC

NPI #1093929184 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1093929184
Entity Type: Organization
Organization Name: E-Town Neurosurgery LLC
Primary Specialty: Neurological Surgery
Enumeration Date: May 9, 2007
Last Updated: Jan 13, 2009

Practice Location

Address: 1700 RING RD
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-9497
Phone: (270) 769-5551

Authorized Official

Name: THAD R. JACKSON
Title: PHYSICIAN AND OWNER
Phone: (270) 769-5551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Neurological Surgery	207T00000X	Primary

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