PINELAKE PHYSICIAN PRACTICE, LLC

MAYFIELD, KY
NPI1841900347
Entity TypeOrganization
Authorized ContactCHARLOTTE LAWRENCE
Assistant Corporate Secretary
615-920-7688
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Enumeration Date2022-11-25
Last Update Date2022-11-25
Business Address
PINELAKE PHYSICIAN PRACTICE, LLC
1029 MEDICAL CENTER CIR STE 204
MAYFIELD, KY 42066-1189
Phone number: 270-251-4545
Mailing Address
PINELAKE PHYSICIAN PRACTICE, LLC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7000