Yahweh Medical Clinic Psc

NPI #1497309827 in Middlesboro, Kentucky

Provider Information

NPI Number: 1497309827
Entity Type: Organization
Organization Name: Yahweh Medical Clinic Psc
Primary Specialty: General Practice
Enumeration Date: Jul 24, 2019
Last Updated: Sep 19, 2019

Practice Location

Address: 3513 CUMBERLAND AVE
City: Middlesboro
State: Kentucky
ZIP Code: 40965-2611
Phone: (631) 790-2862

Authorized Official

Name: ASHER GABRIEL, MD
Title: OWNER
Phone: (631) 790-2862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
General Practice	208D00000X	Primary

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