Glenn R. Womack M.D. PSC
Organization Active NPI Clinic/Center · Flemingsburg, KY
NPI 1710141585 · NPPES record last updated Jul 11, 2008
Key facts
- NPI
- 1710141585
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 15952 (KY)
- Legal business name
- GLENN R. WOMACK M.D. PSC
- Practice address
- 732 Elizaville Road
Flemingsburg, KY 41041 - Phone
- (606) 849-2323
- Fax
- (606) 849-2025
- NPI assigned
- Jul 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Glenn R Womack, M.D.
- Title
- President
- Phone
- (606) 849-2323
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Buffalo Trace Family Health Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 15952 | KY | Yes |
Addresses
Primary practice location
732 Elizaville Road
Flemingsburg, KY 41041
Mailing address
PO Box 344
Flemingsburg, KY 41041-0344
Phone (606) 849-2323
Other names
- Buffalo Trace Family Health Care
Other providers in Flemingsburg, KY
- Jacob Evan Fritz
- Heather G Fronk
- Melodye Galbreath
- Glenn R Womack MD PSC
- Glenn R Womack MD PSC
- Glenn R. Womack M.D. PSC
- Tiffany Nicole Gray
- Gregory E. Taylor
- Gregory E. Taylor Dba Eyecare Associates
- Melinda Hamm
All providers in Flemingsburg, KY · Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.