Most Relevant Information
Provider Data
| NPI Number: | 1003813601 |
| Provider Name: | EDDIE LYNN PAULK D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | R9H10 |
Most Important Dates
| Enumeration Date: | 06/29/2005 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
6812 STATE ROUTE 162 STE 21
MARYVILLE
IL
620628565
Practice Location Phone/Fax
| Phone: | 6182885566 |
| Fax: | 6182884005 |
Provider Mailing Location
6810 STATE ROUTE 162 BOX 215
MARYVILLE
IL
620628501
Provider Mailing Phone/Fax
| Phone: | 6183916405 |
| Fax: | 6182884088 |
Suggested EMR
Internist EMR