GINA L GOOD , MSN MEDICAL & LASER CENTER,LLC


Address: 411 Dons Dr, London, KY 40741-2094
Phone: 6063300300

GINA L GOOD , MSN MEDICAL & LASER CENTER,LLC (NPI# 1396938635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396938635
Entity Type Organization
Organization Name GINA L GOOD , MSN MEDICAL & LASER CENTER,LLC
Practice Address 411 Dons Dr
London
KY 40741-2094
Practice Telephone 6063300300
Practice Fax Number 6065457611
Mailing Telephone 6063300300
Mailing Fax Number 6065457611
Enumeration Date 2007-08-21
Last Update Date 2008-10-21
Authorized Official Name MS. JUDY LYNNE RHODES (OFFICE MANAGER)
Authorized Official Telephone 6063300300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
27464 KY Ambulatory Health Care Facilities

Office Location

Street Address 411 DONS DR
City LONDON
State KY
Zip Code 40741-2094

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City LONDON
Zip Code 40741

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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