Provider First Line Business Practice Location Address:
1320 CUMBERLAND FALLS HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORBIN
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40701-2719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-528-8270
Provider Business Practice Location Address Fax Number:
606-526-7986
Provider Enumeration Date:
07/21/2017