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Georgetown Medical, Llc
Methadone Clinic in Georgetown, Kentucky
NPI 1063824381

Georgetown Medical, Llc is a Methadone Clinic based in Mount Laurel, KY and is specialized in Methadone. Georgetown Medical, Llc practices in Georgetown, KY. The NPI Number for Georgetown Medical, Llc is 1063824381 and holds a License No. 810355 (Kentucky).

The current practice location address for Georgetown Medical, Llc is 105 Eastside Dr, Georgetown, KY and can be reached out via phone at 502-868-0664. You can also correspond with Georgetown Medical, Llc through the mailing address at 1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ - 08054-2202 (mailing address contact number: 856-439-6111).

Location: 105 Eastside Dr, Georgetown, KY, 08054-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063824381
Provider Name
Georgetown Medical, Llc
Credential
Provider Entity Type
Organization
Address
105 Eastside Dr, Georgetown, KY, 08054-2202
Phone Number
502-868-0664
Fax Number
Provider Enumeration Date
05/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
810355 01 KY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
105 Eastside Dr
City
Georgetown
State
Kentucky
Zip
40324-9797
Phone Number
502-868-0664
Fax Number
person
Provider Business Mailing Address Details
Address
1317 Route 73 Ste 200
City
Mount Laurel
State
New Jersey
Zip
08054-2202
Phone Number
856-439-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
810355 (Kentucky)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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