Individual
DOUGLAS M MOTTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 LEXINGTON AVE, SUITE 8B, ASHLAND, KY 41101-2843
(606) 327-5190
(606) 327-6693
Mailing address
2201 LEXINGTON AVE, SUITE 8B, ASHLAND, KY 41101-2843
(606) 327-5190
(606) 327-6693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TP680
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40409
LICENSE
KY
Enumeration date
07/26/2006
Last updated
07/08/2007
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