PINELAKE PHYSICIAN PRACTICE LLC

MAYFIELD, KY
NPI1891939690
Entity TypeOrganization
Authorized ContactTHOMAS WEISS
President
615-372-8500
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
Enumeration Date2009-04-23
Last Update Date2009-04-23
Business Address
PINELAKE PHYSICIAN PRACTICE LLC
1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066-1189
Phone number: 270-251-4547
Mailing Address
PINELAKE PHYSICIAN PRACTICE LLC
1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066-1189
Phone number: 270-251-4547
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