Provider First Line Business Practice Location Address:
100 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAZARD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41701-9421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-562-1899
Provider Business Practice Location Address Fax Number:
606-886-4433
Provider Enumeration Date:
12/13/2022