Organization
JACKSON PURCHASE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNALEE LYNN PAUL MD (MD/OWNER)
(270) 251-4545
Entity
Organization
Contact information
Practice address
1029 MEDICAL CENTER CIR, SUITE 200, MAYFIELD, KY 42066-1189
(270) 251-4545
(270) 251-4546
Mailing address
1029 MEDICAL CENTER CIR, SUITE 200, MAYFIELD, KY 42066-1189
(270) 251-4545
(270) 251-4546
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PENDING
KY
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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