GREGORY FUQUA

FRANKFORT, KY
NPI1245298306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  29659)
Enumeration Date2006-05-01
Last Update Date2024-11-27
Business Address
GREGORY FUQUA MD
202 LIMESTONE ST S STE 1B
FRANKFORT, KY 40601-4320
Phone number: 502-665-8375
Mailing Address
GREGORY FUQUA MD
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-665-8375
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