Physicians Medical Center LLC

NPI #1366960908 in La Grange, Kentucky

Provider Information

NPI Number: 1366960908
Entity Type: Organization
Organization Name: Physicians Medical Center LLC
Primary Specialty: General Practice
Enumeration Date: Sep 5, 2017
Last Updated: Aug 1, 2018

Practice Location

Address: 1006 NEW MOODY LN
City: La Grange
State: Kentucky
ZIP Code: 40031
Phone: (502) 222-0028

Authorized Official

Name: REBECCA HENRY
Title: CREDENTIALING SPECIALIST
Phone: (812) 590-6936

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X
Physician Assistant	363A00000X
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
General Practice	208D00000X	Primary

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