Organization
APPALACHIAN PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED AKHLACK HOSSAIN MAZUMDER MD (PRESIDENT)
(606) 874-0112
Entity
Organization
Contact information
Practice address
92 PICKETT LN, PRESTONSBURG, KY 41653-8569
(606) 874-0112
(606) 874-0115
Mailing address
92 PICKETT LN, PRESTONSBURG, KY 41653-8569
(606) 874-0112
(606) 874-0115
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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