| The Doc Shoppe | |
|
1704 Forest Dr Corbin KY 40701-2316 | |
| (606) 620-9770 | |
| (606) 620-9771 |
| Full Name | The Doc Shoppe |
|---|---|
| Speciality | Family Medicine |
| Location | 1704 Forest Dr, Corbin, Kentucky |
| Authorized Official Name and Position | Bruce Robert Jung (OWNER) |
| Authorized Official Contact | 6066209770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doc Shoppe 46 Marisa Ct Corbin KY 40701-8935 Ph: (606) 280-1514 | The Doc Shoppe 1704 Forest Dr Corbin KY 40701-2316 Ph: (606) 620-9770 |
| NPI Number | 1447945910 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447945910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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