Organization
NS PANWAR, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI FAY SMALLWOOD (BILLING CLERK)
(606) 237-9900
Entity
Organization
Contact information
Practice address
414 CENTRAL AVE, SUITE 2, SOUTH WILLIAMSON, KY 41503-4121
(606) 237-9900
(606) 237-9901
Mailing address
414 CENTRAL AVE, SUITE 2, SOUTH WILLIAMSON, KY 41503-4121
(606) 237-9900
(606) 237-9901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33230
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092976000
—
WV
05
—
64940067
—
KY
Enumeration date
05/17/2012
Last updated
05/17/2012
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