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1033245055
CHARLES WILLIAM BRISCOE
CORBIN, KY
NPI
1033245055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KY 16130)
Enumeration Date
2007-02-26
Last Update Date
2020-12-08
Business Address
CHARLES WILLIAM BRISCOE M.D.
1 TRILLIUM WAY
CORBIN, KY 40701-8426
Phone number: 606-523-8521
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Mailing Address
CHARLES WILLIAM BRISCOE M.D.
2700 STANLEY GAULT PKWY STE 129
LOUISVILLE, KY 40223-5176
Phone number: 502-253-4900
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