| NPI | 1245299585 |
|---|---|
| Doing Business As | EAST BERNSTADT MEDICAL CLINIC |
| Doing Business As | EAST BERNSTADT MEDICAL CLINIC PLLC |
| Entity Type | Organization |
| Authorized Contact | CARLA JEAN JOHNSON Billing/Credentialing Clerk 606-843-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2025-10-29 |