Family Care Center Magnolia

NPI 1194775734 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1194775734
Enumeration Date 05/12/2006
Last Updated 07/29/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFF D JEFF
Position DIRECTOR
Phone (270) 324-3241
Fax (270) 324-3244
Practice Location
432 MILL RD
MAGNOLIA KY, 42757-7862, US
Phone (270) 324-3241
Fax (270) 324-3244
Business Location
PO BOX 2309
ELIZABETHTOWN KY, 42702-2309, US
Phone (270) 706-1131
Fax (270) 706-1167
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
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According to our database, Family Care Center Magnolia NPI is 1194775734, taxonomy code is 363L00000X Family Care Center Magnolia physically located at 432 Mill Rd, Magnolia KY, 42757-7862. NPI Number 1033115704 has the healthcare provider type.

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1194775734 NPI number is provided on an as is basis without warranty of any kind. 1194775734 is maintained by the National Plan & Provider Enumeration System. The contents of Family Care Center Magnolia are for informational purposes only.