Provider First Line Business Practice Location Address:
218 W MCELROY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANFIELD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42437-1447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-389-1230
Provider Business Practice Location Address Fax Number:
270-389-9031
Provider Enumeration Date:
02/03/2006