1063824381 GEORGETOWN MEDICAL, LLC

Methadone Clinic

Active

Basic Information

Organization Name
GEORGETOWN MEDICAL, LLC
Enumeration Date
May 21, 2014
Last Update
September 9, 2021
Authorized Official
ROBYN TANIS
EXECUTIVE DIRECTOR OF CONTRACT MGMT
Phone: (856) 533-8762

Practice Location

Address
105 EASTSIDE DR
GEORGETOWN, KY 403249797
Phone
(502) 868-0664

Mailing Address

Address
1317 ROUTE 73 STE 200
MOUNT LAUREL, NJ 080542202
Phone
(856) 439-6111

Specialties & Taxonomies

Specialty Code Classification License State Primary
Methadone Clinic
Methadone
261QM2800X Clinic/Center 810355 KY Primary

Other Identifiers

Identifier Type State Issuer
810355 01 KY STATE LICENSE

Additional Practice Locations

105 Eastside Dr
Suites A, B, and C
Georgetown, KY 403249797

Phone: (502) 868-0664

Frequently Asked Questions

What is GEORGETOWN MEDICAL, LLC's NPI number?
GEORGETOWN MEDICAL, LLC's NPI number is 1063824381.
Which doctor has NPI number 1063824381?
The doctor with NPI number 1063824381 is GEORGETOWN MEDICAL, LLC.
What is GEORGETOWN MEDICAL, LLC's practice address?
GEORGETOWN MEDICAL, LLC's practice address is 105 EASTSIDE DR, GEORGETOWN, KY, 403249797.
Which doctor practices at 105 EASTSIDE DR, GEORGETOWN, KY, 403249797?
GEORGETOWN MEDICAL, LLC practices at 105 EASTSIDE DR, GEORGETOWN, KY, 403249797.
What is GEORGETOWN MEDICAL, LLC's mailing address?
GEORGETOWN MEDICAL, LLC's mailing address is 1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ, 080542202.
What is GEORGETOWN MEDICAL, LLC's phone number?
GEORGETOWN MEDICAL, LLC's phone number is (502) 868-0664.
Who is (502) 868-0664?
(502) 868-0664 is the phone number for GEORGETOWN MEDICAL, LLC.
What is GEORGETOWN MEDICAL, LLC's specialty?
GEORGETOWN MEDICAL, LLC's specialty is Methadone Clinic.
What type of doctor is GEORGETOWN MEDICAL, LLC?
GEORGETOWN MEDICAL, LLC is a Methadone Clinic.
Is GEORGETOWN MEDICAL, LLC a Methadone?
Yes, GEORGETOWN MEDICAL, LLC is a Methadone.
Is GEORGETOWN MEDICAL, LLC still practicing?
Yes, GEORGETOWN MEDICAL, LLC is currently practicing.
Is GEORGETOWN MEDICAL, LLC accepting new patients?
GEORGETOWN MEDICAL, LLC may be accepting new patients. Please call their office at (502) 868-0664 to inquire about availability.
Is NPI 1063824381 still active?
Yes, NPI 1063824381 is currently active.
Where does GEORGETOWN MEDICAL, LLC practice?
GEORGETOWN MEDICAL, LLC practices in GEORGETOWN, KY.