| NPI | 1568227262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PETER STACY Owner/President 502-592-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-05-09 |