Provider First Line Business Practice Location Address:
1710 N MAIN ST
Provider Second Line Business Practice Location Address:
PEDIATRIC ASSOCIATES
Provider Business Practice Location Address City Name:
HAZARD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41701-1278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-487-8300
Provider Business Practice Location Address Fax Number:
606-436-9953
Provider Enumeration Date:
05/26/2006