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Contact Information

GLENN R. WOMACK M.D. PSC
732 ELIZAVILLE ROAD
FLEMINGSBURG, KY41041
 Phone: 606-849-2323
 Fax: 606-849-2025
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GLENN R WOMACK MD PSC · (Female)

NPI # 1962432153
Status Active
Credentials
Entity Individual
Enumeration date 07/03/2006
Last updated 05/21/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 15952
  • KY Medicaid 65929143
  • KY Medicaid 78904141
  • KY Medicaid 9590108800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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