| NPI | 1003496902 |
|---|---|
| Doing Business As | MAIN STREET MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | WYNETTA J. FLETCHER Owner 606-784-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2023-07-03 |