| Appalachian Primary Care LLC | |
|
92 Pickett Ln Prestonsburg KY 41653-8569 | |
| (606) 874-0112 | |
| (606) 874-0115 |
| Full Name | Appalachian Primary Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 92 Pickett Ln, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Mohammed Mazumder (PRESIDENT) |
| Authorized Official Contact | 6467077415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Primary Care LLC 92 Pickett Ln Prestonsburg KY 41653-8569 Ph: (606) 874-0112 | Appalachian Primary Care LLC 92 Pickett Ln Prestonsburg KY 41653-8569 Ph: (606) 874-0112 |
| NPI Number | 1265971782 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 03/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265971782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207Q00000X | Family Medicine | 43704 (Kentucky) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | 43704 (Kentucky) | Secondary |
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