South Main Clinic LLC
NPI #1851959217 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1851959217
- Entity Type
- Organization
- Organization Name
- South Main Clinic LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- May 31, 2019
- Last Updated
- Jul 1, 2020
Practice Location
- Address
- 1913 S MAIN ST
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-3353
- Phone
- (270) 404-3411
Authorized Official
- Name
- DR. JAMES BRADLEY ASHBY, PHARMD
- Title
- VICE-PRESIDENT/MEMBER
- Phone
- (270) 404-3411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Pediatrics |
| Clinic/Center - Rural Health — Rural Health |
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