Greg Mick D.o., Pllc

NPI #1215320056 in Lexington, Kentucky

Provider Information

NPI Number: 1215320056
Entity Type: Organization
Organization Name: Greg Mick D.o., Pllc
Primary Specialty: General Practice
Enumeration Date: Mar 17, 2015
Last Updated: Mar 17, 2015

Practice Location

Address: 2375 PROFESSIONAL HEIGHTS DR
Address 2: SUITE 240
City: Lexington
State: Kentucky
ZIP Code: 40503-3040
Phone: (859) 523-8996

Authorized Official

Name: JOHN DANIELS
Title: MANAGER
Phone: (859) 523-8996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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