JOSEPH TYE PREWITT

CORBIN, KY
NPI1740538966
Other NameBAPTIST CARDIOLOGY OF CORBIN
Entity TypeOrganization
Authorized ContactCHAWNTAY GILMORE
Billing Office Manager
606-526-8122
Organization Subpart ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: KY  TC127)
Enumeration Date2012-08-20
Last Update Date2012-08-21
Business Address
JOSEPH TYE PREWITT
15 MOONBOW PLZ
CORBIN, KY 40701-8949
Phone number: 606-528-5331
Mailing Address
JOSEPH TYE PREWITT
3454 E LAUREL RD
LONDON, KY 40741-6871
Phone number: 606-231-8437