# EPHRAIM MCDOWELL HAGGIN PHYSICIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ephraim McDowell Dedman Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992229231
- **Authorized official:** MR. WILLIAM M SNAPP III (CFO)
- **Authorized official phone:** (859) 239-1000

## Contact information

- **Practice address:** 466 LINDEN AVE STE A, HARRODSBURG, KY 40330-1841
- **Practice address phone:** (859) 734-5173
- **Mailing address:** PO BOX 990, DANVILLE, KY 40423-0990
- **Mailing address phone:** (859) 239-2360
- **Mailing address fax:** (859) 239-6785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/28/2017
- **Last updated:** 07/28/2017