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1245298306
GREGORY FUQUA
FRANKFORT, KY
NPI
1245298306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 29659)
Enumeration Date
2006-05-01
Last Update Date
2011-12-28
Business Address
GREGORY FUQUA MD
1001 LEAWOOD DR
FRANKFORT, KY 40601-3375
Phone number: 502-223-0231
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Mailing Address
GREGORY FUQUA MD
PO BOX 4168
FRANKFORT, KY 40604-4168
Phone number: 502-223-5811
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