| Organization Name: | MY 3 C'S ENTERPRISES, PLLC |
| NPI Number: | 1902027865 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIFFANY NICHOLE DUNAGAN (BILLING MANAGER) |
| Mailing Address: | 1704 W Stockton St Edmonton |
| State: | KY US |
| Postal Code: | 421298137 |
| Phone Number: | 2704324800 |
| Fax Number: | 2704324804 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 01/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35818 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |