OrganizationActive
Mat Prac Group, LLC
NPI 1083093207 · Addiction Medicine (Internal Medicine) Physician · Louisville, KY
Provider details
- NPI number
- 1083093207
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bill Dawson, Coo(502) 681-5752
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
204 S Floyd St
Box 8
Louisville, KY 40202-1208
Phone: (502) 681-5752
Approximate (ZIP-level) locationGet directions
Mailing address
204 S Floyd St
Louisville, KY 40202-1208
Registry dates
- Enumerated
- 2015-05-20
- Last updated
- 2015-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.