| NPI | 1568128957 |
|---|---|
| Doing Business As | 2ND CHANCE CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | MARVIN BISHIOP Owner 859-368-8820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |