Most Relevant Information
Provider Data
| NPI Number: | 1003577750 |
| Provider Name: | GINA MARIE SCARBOROUGH |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/05/2022 |
| Last Updated: | 01/05/2022 |
Provider Practice Location
100 TRILOGY AVE
HOPKINSVILLE
KY
422405329
Practice Location Phone/Fax
| Phone: | 2708852902 |
| Fax: |
Provider Mailing Location
PO BOX 614
HOPKINSVILLE
KY
422410614
Provider Mailing Phone/Fax
| Phone: | 2708862205 |
| Fax: |