Shane Mcdougal, MD

NPI #1104871862 in Whitesburg, Kentucky

Provider Information

NPI Number: 1104871862
Entity Type: Individual
Name: Shane Mcdougal, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 23, 2006
Last Updated: Oct 17, 2018

Practice Location

Address: 47 HIGHWAY 119 S
Address 2: STE 3
City: Whitesburg
State: Kentucky
ZIP Code: 41858-7131
Phone: (606) 633-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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