Collaborative Care Medical Associates Inc.

NPI #1558690180 in Hazard, Kentucky

Provider Information

NPI Number: 1558690180
Entity Type: Organization
Organization Name: Collaborative Care Medical Associates Inc.
Primary Specialty: Optometrist
Enumeration Date: Dec 10, 2009
Last Updated: Jan 24, 2011

Practice Location

Address: 941 N MAIN ST
City: Hazard
State: Kentucky
ZIP Code: 41701-1377
Phone: (606) 439-4010

Authorized Official

Name: DWIGHT L AVERY, O.D.
Title: OWNER
Phone: (606) 439-4010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Optometrist	152W00000X	Primary

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