Organization
FRONTIER MEDICAL ASSOCIATES OF PRESTONSBURG INC
Active
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
Update your record
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