Individual
JOSEPH TERRY FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3310 COX MILL RD, HOPKINSVILLE, KY 42240-1256
(270) 886-9890
Mailing address
3310 COX MILL RD, HOPKINSVILLE, KY 42240-1256
(270) 886-9890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13901
KY
Other
Enumeration date
07/21/2005
Last updated
04/26/2011
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