Glenn R Womack MD Psc

NPI #1912160698 in Flemingsburg, Kentucky

Provider Information

NPI Number: 1912160698
Entity Type: Organization
Organization Name: Glenn R Womack MD Psc
Primary Specialty: Physician Assistant
Enumeration Date: Jul 3, 2008
Last Updated: Jul 3, 2008

Practice Location

Address: 732 ELIZAVILLE ROAD
City: Flemingsburg
State: Kentucky
ZIP Code: 41041
Phone: (606) 849-2323

Authorized Official

Name: DR. GLENN R WOMACK, MD
Title: PRESIDENT
Phone: (606) 849-2323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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