Organization
MAG MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA FIELDS APRN (CO-OWNER)
(606) 672-1144
Entity
Organization
Contact information
Practice address
21154 HWY 421, HYDEN, KY 41749
(606) 672-1144
(606) 672-1145
Mailing address
21154 HWY 421, HYDEN, KY 41749
(606) 672-1144
(606) 672-1145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006479
KY
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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