SUPPORTIVE MED

Family Medicine Physician

NPI: 1740077163Organization

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

Contact & Hours

Address: 1619 DIEDERICH BLVD STE B
RUSSELL, KY 41169
Phone: (606) 324-0334

Location

Practice Location

1619 DIEDERICH BLVD STE B, RUSSELL, KY

Quick Facts

NPI: 1740077163
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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