Provider First Line Business Practice Location Address:
416 CENTRAL AVENUE
Provider Second Line Business Practice Location Address:
GRAVES COUNTY HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
MAYFIELD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-247-3553
Provider Business Practice Location Address Fax Number:
270-247-0392
Provider Enumeration Date:
12/02/2005