Organization
FRONTIER MEDICAL ASSOCIATES OF PRESTONSBURG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOIN HANA M.D. (OWNER)
(606) 471-2434
Entity
Organization
Contact information
Practice address
400 UNIVERSITY DR STE 211A, PRESTONSBURG, KY 41653-1080
(606) 886-6622
(606) 886-1173
Mailing address
PO BOX 697, PRESTONSBURG, KY 41653-0697
(606) 886-6622
(606) 886-1173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100730470
—
KY
05
—
7100739900
—
KY
05
—
7100787260
—
KY
Enumeration date
01/21/2021
Last updated
01/07/2022
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