4md2 Physician Services of Bowling Green LLC
NPI #1629101704 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1629101704
- Entity Type
- Organization
- Organization Name
- 4md2 Physician Services of Bowling Green LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1801 ASHLEY CIR
- Address 2
- EMERGENCY ROOM
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42104-3362
- Phone
- (205) 995-0422
Authorized Official
- Name
- GUY DUWANE HOOPER
- Title
- PRESIDENT
- Phone
- (205) 995-0422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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