PINELAKE PHYSICIAN PRACTICE LLC

Family Medicine

Active Organization
NPI: 1912216532

Practice Address

1111 MEDICAL CENTER CIR
Mayfield, KY 42066

Phone: (270) 251-4085

Specialties

Specialty Code Primary License
Family Medicine - Sports Medicine 207QS0010X No -
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1912216532 is the National Provider Identifier for PINELAKE PHYSICIAN PRACTICE LLC, a Family Medicine provider located in Mayfield, KY. This NPI was enumerated on September 30, 2010.

Quick Facts

NPI
1912216532
Type
Organization
Enumerated
Sep 30, 2010
Last Updated
Sep 30, 2010

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