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NPI Code Detail

MEDICARE: MEDICAL ASSOCIATES, LLC

MEDICARE: MEDICAL ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician

General Provider Information

NPI Number : 1780190397
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL ASSOCIATES, LLC
Provider Business Mailing Address
First Line : PO BOX 325
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-0325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 644 MAYSVILLE RD STE 4
Second Line :
City : MOUNT STERLING
State : KY
Zip : 40353-9464
Country : US
Telephone Number : 859-497-6220
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : AARON WILLIAMS
Credential :
Telephone Number : 606-571-0300
Provider Enumeration Date : 12/19/2017
Last Update Date : 12/19/2017

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Directions to “MEDICAL ASSOCIATES, LLC ” Practice Location

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