# MAG MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255676094
- **Authorized official:** PAULA FIELDS NP (CO OWNER)
- **Authorized official phone:** (606) 216-3784

## Contact information

- **Practice address:** 30 OLD MILL RIDGE HL, BONNYMAN, KY 41719-8841
- **Practice address phone:** (606) 216-3784
- **Mailing address:** 30 OLD MILL RIDGE HL, BONNYMAN, KY 41719-8841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2012
- **Last updated:** 12/05/2012