Doctor Name: | MRS. GEORGANA CEE TUDOR |
NPI Number: | 1023115458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 5010P |
Business Practice Address: | 40 Main St Saint Luke's Family Clinic Campton, KY - 413010000 |
Business Phone Number: | 6066689076 |
Business Fax Number: | |
Mailing Address: | 4030 Tates Creek Rd, Apt 5604 LEXINGTON |
State: | KY |
Postal Code: | 405173073 |
Phone Number: | 8592009865 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 09/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5010P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |