PINELAKE PHYSICIAN PRACTICE LLC

MAYFIELD, KY
NPI1679061071
Doing Business AsJACKSON PURCHASE PRIMARY CARE WILLIAMS CLINIC
Entity TypeOrganization
Authorized ContactSARA MILLER
Director
615-202-9581
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Enumeration Date2018-05-01
Last Update Date2018-05-01
Business Address
PINELAKE PHYSICIAN PRACTICE LLC
110 S 9TH ST
MAYFIELD, KY 42066-2208
Phone number: 270-247-7795
Mailing Address
PINELAKE PHYSICIAN PRACTICE LLC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7905