JEREMY DAVID CAUDILL

DANVILLE ORTHOPAEDICS AND SPORTS MEDICINE PSC

Dr JEREMY DAVID CAUDILL is a male medical professional, specializing in Physician Assistant. He graduated in 2012.

Contact

DANVILLE ORTHOPAEDICS AND SPORTS MEDICINE PSC

333 S 3RD ST
DANVILLE
KY
404222016

Tel: 8592368730

JEREMY DAVID CAUDILL Information

Npi 1205189404
Pac Id 3173776473
Professional Enrollment Id I20130118000106
Last Name CAUDILL
First Name JEREMY
Middle Name DAVID
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DANVILLE ORTHOPAEDICS AND SPORTS MEDICINE PSC
Group Practice Pac Id 3971575515
Number Of Group Practice Members 8
Line 1 Street Address 333 S 3RD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DANVILLE
State KY
Zip Code 404222016
Phone Number 8592368730
Hospital Affiliation Ccn 1 180048
Hospital Affiliation Lbn 1 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 181330
Hospital Affiliation Lbn 2 RUSSELL COUNTY HOSPITAL
Hospital Affiliation Ccn 3 181302
Hospital Affiliation Lbn 3 THE JAMES B. HAGGIN MEMORIAL HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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