| Cgg Internal Medicine | |
|
120 N Eagle Creek Dr Suite321 Lexington KY 40509-1827 | |
| (859) 264-8005 | |
| (859) 264-8026 |
| Full Name | Cgg Internal Medicine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 120 N Eagle Creek Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Jane Winterton (ORGANIZING MEMBER) |
| Authorized Official Contact | 8592648005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cgg Internal Medicine 120 N Eagle Creek Dr Suite321 Lexington KY 40509-1827 Ph: (859) 264-8005 | Cgg Internal Medicine 120 N Eagle Creek Dr Suite321 Lexington KY 40509-1827 Ph: (859) 264-8005 |
| NPI Number | 1760747141 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 07/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760747141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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