Doctor Name: | DR. MARY MARGARET STUBBS |
NPI Number: | 1578758942 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 26232 |
Business Practice Address: | 504 N Main St Suite B Nicholasville, KY - 403561125 |
Business Phone Number: | 8598873712 |
Business Fax Number: | |
Mailing Address: | 504 N Main St, Suite B NICHOLASVILLE |
State: | KY |
Postal Code: | 403561125 |
Phone Number: | 8598873712 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 08/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 26232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |