NORTHSIDE PEDIATRICS PSC

GLASGOW, KY
NPI1295894137
Entity TypeOrganization
Authorized ContactSANDRA DOTSON MOSS
President
270-678-5740
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: KY  19876)
Enumeration Date2006-12-06
Last Update Date2020-08-22
Business Address
NORTHSIDE PEDIATRICS PSC
290 OLD JACKSON HWY 31E LOOP
GLASGOW, KY 42141-9089
Phone number: 270-678-5740
Mailing Address
NORTHSIDE PEDIATRICS PSC
290 OLD JACKSON HWY 31E LOOP
GLASGOW, KY 42141-9089
Phone number: 270-678-5740
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