Organization
MAG MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA FIELDS NP (CO OWNER)
(606) 216-3784
Entity
Organization
Contact information
Practice address
30 OLD MILL RIDGE HL, BONNYMAN, KY 41719-8841
(606) 216-3784
Mailing address
30 OLD MILL RIDGE HL, BONNYMAN, KY 41719-8841
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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