COMMONWEALTH SURGICAL SERVICES, LLC
Medical Practice in Bowling Green, KY

License number
Kentucky SA272
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. KIMBERLY DIANA WILSON
Title: OFFICE MANAGER
Phone: (270) 782-0434
Address
Address
1945 Pmb137, Bowling Green, KY 42104
National Provider ID: 1023423357
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COMMONWEALTH SURGICAL SERVICES, LLC

Bowling Green, KY

Industry:
Services-Misc
Doing business as:
Commonwealth Surgical Services
Registration:
Nov 6, 2001
Phone:
(270) 782-0434 (Phone)
Addresses:
1945 Scottsville Rd B-2 Pmb137, Bowling Green, KY 42104 (Physical)
1945 Scottsville Rd, Bowling Green, KY 42104
1725 Ashley Cir, Bowling Green, KY 42104
State ID:
0149446
Business type:
Domestic Limited Liability Company
Principal:
Danny Gordon (Principal)
Agent:
Iii Albert Caproni,750 Hammond Dr, Atlanta, GA (Physical)
Categories:
Physicians & Surgeons

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