Ccmh Corporation
NPI #1780075911 in Carrollton, Kentucky
Provider Information
- NPI Number
- 1780075911
- Entity Type
- Organization
- Organization Name
- Ccmh Corporation
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 10, 2015
- Last Updated
- Jun 25, 2020
Practice Location
- Address
- 309 11TH ST
- City
- Carrollton
- State
- Kentucky
- ZIP Code
- 41008-1435
- Phone
- (502) 732-3275
Authorized Official
- Name
- SHEILA TOMLINSON
- Title
- PRACTICE MANAGER
- Phone
- (502) 732-3278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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