PINELAKE PHYSICIAN PRACTICE, LLC

MAYFIELD, KY
NPI1942535281
Doing Business AsMAYFIELD ORTHOPEDIC ASSOCIATES
Entity TypeOrganization
Authorized ContactTIMOTHY VAUGHN
Vice President
615-565-1513
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2009-10-05
Last Update Date2010-11-23
Business Address
PINELAKE PHYSICIAN PRACTICE, LLC
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066-1194
Phone number: 270-251-4070
Mailing Address
PINELAKE PHYSICIAN PRACTICE, LLC
1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066-1189
Phone number: 270-251-4547
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