Individual
NICHOLAS J DAWSON FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
313 S CHERRY ST, PINEVILLE, KY 40977-1724
(606) 654-3338
(606) 654-2273
Mailing address
424 W TENNESSEE AVE, PINEVILLE, KY 40977-1438
(606) 337-3223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04947
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
03/26/2018
Last updated
02/03/2022
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