| NPI | 1225161441 |
|---|---|
| Doing Business As | CAPITAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GREGORY FUQUA President 502-223-0231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-09-05 |