Provider First Line Business Practice Location Address:
1101 ST CHRISTOPHER DR
Provider Second Line Business Practice Location Address:
SAME DAY SURGERY CTR. STE 340
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-836-8188
Provider Business Practice Location Address Fax Number:
606-836-8177
Provider Enumeration Date:
10/04/2006