| Zachary Davis, | |
|
396 Highway 899, Hindman, KY 41822-8953 | |
| (606) 785-9440 | |
| Not Available |
| Full Name | Zachary Davis |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 396 Highway 899, Hindman, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518587427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05572 (Kentucky) | Primary |
| Entity Name | Mountain Comprehensive Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417900242 PECOS PAC ID: 7618875873 Enrollment ID: O20031224000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Davis, Po Box 40, Whitesburg, KY 41858-0040 Ph: (606) 633-4823 | Zachary Davis, 396 Highway 899, Hindman, KY 41822-8953 Ph: (606) 785-9440 |
Kenneth Morris Slone, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 59 Cowtown Rd.,, Uk June Buchanan Clinic, Hindman, KY 41822 Phone: 606-785-3175 Fax: 606-785-9968 | |
Dr. Warren Grady Stumbo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 566 Highway 899, Hindman, KY 41822 Phone: 606-785-3164 Fax: 606-785-0107 | |
Dr. Avery Blake Shrum, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 425 Hindman Byp, Hindman, KY 41822 Phone: 606-439-1300 Fax: 606-439-1400 |