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Individual

DR. TROY MARVIN NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.,PHARM.D.,M.P.H.

Contact information

Practice address
211 S 8TH ST, MAYFIELD, KY 42066-2203
(270) 804-7710
(270) 804-7722
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02797
KY
261QP2300X
Primary Care Clinic/Center
02797KY
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64071806
KY
Enumeration date
07/05/2006
Last updated
03/10/2017
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