Icc Medical LLC

NPI #1891725743 in Glasgow, Kentucky

Provider Information

NPI Number
1891725743
Entity Type
Organization
Organization Name
Icc Medical LLC
Primary Specialty
Family Medicine
Enumeration Date
Jul 4, 2006
Last Updated
Apr 20, 2008

Practice Location

Address
405 S. L. ROGERS WELLS BLVD
ZIP Code
42141
Phone
(270) 834-8892

Authorized Official

Name
DR. ROGER TODD WILLIAMS, MD
Title
OWNER
Phone
(270) 834-8892

Specialties & Taxonomy Codes

Specialty
Family Medicine

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