Individual
JAMES C MACK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2351 HUGUENARD DR, SUITE 200, LEXINGTON, KY 40503
(859) 260-7700
(859) 260-7797
Mailing address
2351 HUGUENARD DR, STUITE 200, LEXINGTON, KY 40503
(859) 260-7700
(859) 260-7797
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19608
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64196082
—
KY
Enumeration date
03/23/2006
Last updated
12/10/2014
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