| Doc Marvin LLC | |
|
544 Lone Oak Rd Paducah KY 42003-4538 | |
| (270) 933-9310 | |
| Not Available |
| Full Name | Doc Marvin LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 544 Lone Oak Rd, Paducah, Kentucky |
| Authorized Official Name and Position | Laurie J Hilbrecht (BILLER) |
| Authorized Official Contact | 2707034416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Marvin LLC Po Box 3 Paducah KY 42002-0003 Ph: (270) 933-9310 | Doc Marvin LLC 544 Lone Oak Rd Paducah KY 42003-4538 Ph: (270) 933-9310 |
| NPI Number | 1659903896 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Medicare PECOS PAC ID | 9436574704 |
|---|---|
| Medicare Enrollment ID | O20200803003223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659903896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Troy M Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730110206 PECOS PAC ID: 2365341781 Enrollment ID: I20040106000000 |
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