| South Main Clinic Llc | |
|
1913 S Main St Madisonville KY 42431-3353 | |
| (270) 404-3411 | |
| Not Available |
| Full Name | South Main Clinic Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1913 S Main St, Madisonville, Kentucky |
| Authorized Official Name and Position | James Bradley Ashby (VICE-PRESIDENT/MEMBER) |
| Authorized Official Contact | 2704043411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Main Clinic Llc 1913 S Main St Madisonville KY 42431-3353 Ph: (270) 404-3411 | South Main Clinic Llc 1913 S Main St Madisonville KY 42431-3353 Ph: (270) 404-3411 |
| NPI Number | 1851959217 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851959217 | NPI | - | NPPES |
| 1851959217 | Other | NPI |
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