| Organization Name: | ARCHER CLINIC ASSOCIATES |
| NPI Number: | 1770773525 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES JEROME HIERONYMUS (PARTNER) |
| Mailing Address: | 400 University Dr Suite 103 Prestonburg |
| State: | KY US |
| Postal Code: | 41653 |
| Phone Number: | 6068863887 |
| Fax Number: | 6068863818 |
| NPI Enumeration Date: | 07/27/2007 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |