Provider First Line Business Practice Location Address:
200 MEDICAL CENTER DRIVE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-439-6782
Provider Business Practice Location Address Fax Number:
606-439-6879
Provider Enumeration Date:
08/14/2012