GLENN R WOMACK MD PSC NPI 1003079781

NPI Information

GLENN R WOMACK MD PSC is a family nurse practitioner in Flemingsburg, KY. GLENN R WOMACK MD PSC NPI is 1003079781. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Buffalo Trace Family Health Care.

The provider's business location address is:

732 ELIZAVILLE RD
FLEMINGSBURG, KY
ZIP 41041
Phone: (606) 849-2323
Fax: (606) 849-2025

The provider's authorized official is Ramona L Mitchell .
The authorized official title is Credentialing and has the following contact phone number (606) 849-2323.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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