Individual
MR. MARC ALAN WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 N LOCK AVE, LOUISA, KY 41230
(606) 638-4595
(606) 638-9471
Mailing address
412 N LOCK AVE, LOUISA, KY 41230
(606) 638-4595
(606) 638-9471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26631
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64266315
—
KY
Enumeration date
10/03/2006
Last updated
02/19/2010
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