| C Fred Gott M.d. | |
|
191 W Professional Park Ct Bowling Green KY 42104-3230 | |
| (270) 782-7464 | |
| (270) 782-8025 |
| Full Name | C Fred Gott M.d. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 191 W Professional Park Ct, Bowling Green, Kentucky |
| Authorized Official Name and Position | Robert Bedard (PRACTICE MANAGER) |
| Authorized Official Contact | 2707827464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C Fred Gott M.d. Po Box 1078 Bowling Green KY 42102-1078 Ph: (270) 782-7464 | C Fred Gott M.d. 191 W Professional Park Ct Bowling Green KY 42104-3230 Ph: (270) 782-7464 |
| NPI Number | 1760547103 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760547103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 20987 (Kentucky) | Primary |
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