JAMIE BLACK

LEXINGTON, KY
NPI1386695419
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: KY  PA690)
Enumeration Date2006-05-13
Last Update Date2007-07-08
Business Address
JAMIE BLACK PA-C
1720 NICHOLASVILLE RD SUITE 502
LEXINGTON, KY 40503-1475
Phone number: 859-277-7129
Mailing Address
JAMIE BLACK PA-C
1720 NICHOLASVILLE RD SUITE 502
LEXINGTON, KY 40503-1475
Phone number: 859-277-7129
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