Eddie Lynn Paulk in Maryville - Internal Medicine
Eddie Lynn Paulk - NPI 1003813601
Eddie Lynn Paulk is a Internal Medicine in Maryville, Illinois. Eddie Lynn Paulk practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Eddie Lynn Paulk is 1003813601. The last update date is 2020-04-16.
Eddie Lynn Paulk's current location address is 6810 State Route 162 Box 215, Maryville, Illinois. You can contact this provider via phone number 6183916405 and fax number 6182884088. The mailing address for Eddie Lynn Paulk is 6810 State Route 162 Box 215, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddie Lynn Paulk |
|---|---|
| Address | 6810 State Route 162 Box 215, Maryville, Illinois |
| Phone Number | 6183916405 |
| Fax Number | 6182884088 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1003813601 |
|---|---|
| Provider Enumeration Date | 2005-06-29 |
| Last Updated Date | 2020-04-16 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 Box 215 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628501 |
| Phone Number | 6183916405 |
| Fax Number | 6182884088 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | R9H10 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 242830743 | MO | -- |
Post Comment/ Review Below
What is the Eddie Lynn Paulk's unique identification number?
The Eddie Lynn Paulk has been assigned the NPI (National Provider Identifier) Number 1003813601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Eddie Lynn Paulk is located?
The Eddie Lynn Paulk is situated at the following address: 6810 State Route 162 Box 215, Maryville, IL, 620628501.
What is the Eddie Lynn Paulk's specialty and taxonomy code?
The Eddie Lynn Paulk's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When did the Eddie Lynn Paulk receive its 1003813601?
The Eddie Lynn Paulk was issued its 1003813601 on 2005-06-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Eddie Lynn Paulk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eddie Lynn Paulk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-04-16.