Georgetown College, INC

NPI #1285109744 in Georgetown, Kentucky

Provider Information

NPI Number: 1285109744
Entity Type: Organization
Organization Name: Georgetown College, INC
Primary Specialty: General Practice
Enumeration Date: Oct 10, 2018
Last Updated: Oct 10, 2018

Practice Location

Address: 400 E COLLEGE ST
City: Georgetown
State: Kentucky
ZIP Code: 40324-1628
Phone: (972) 367-4845

Authorized Official

Name: STACEE GIBSON
Title: ASSISTANT ATHLETIC TRAINER
Phone: (859) 274-2128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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