| C. Michael Littlejohn, MD, PSC | |
|
1100 S Jefferson St Princeton KY 42445-2379 | |
| (270) 365-3343 | |
| (270) 365-4467 |
| Full Name | C. Michael Littlejohn, MD, PSC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1100 S Jefferson St, Princeton, Kentucky |
| Authorized Official Name and Position | Charles Michael Littlejohn (PHYSICIAN) |
| Authorized Official Contact | 2703653343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Michael Littlejohn, MD, PSC 1100 S Jefferson St Princeton KY 42445-2379 Ph: (270) 365-3343 | C. Michael Littlejohn, MD, PSC 1100 S Jefferson St Princeton KY 42445-2379 Ph: (270) 365-3343 |
| NPI Number | 1487755740 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 11/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487755740 | NPI | - | NPPES |
| 64305063 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30506 (Kentucky) | Primary |
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