Mayfield Pediatric Clinic Pllc

NPI #1205079134 in Mayfield, Kentucky

Provider Information

NPI Number: 1205079134
Entity Type: Organization
Organization Name: Mayfield Pediatric Clinic Pllc
Primary Specialty: Family Medicine
Enumeration Date: Apr 7, 2009
Last Updated: Jul 19, 2018

Practice Location

Address: 417 S 6TH ST
City: Mayfield
State: Kentucky
ZIP Code: 42066
Phone: (270) 247-1104

Authorized Official

Name: ABID HUSSAIN, M.D.
Title: OWNER
Phone: (270) 247-1104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Pediatrics	208000000X
General Practice	208D00000X
Nurse Practitioner - Family — Family	363LF0000X

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