Organization · Type 2 NPI

Pinelake Physician Practice LLC

Rural Health Clinic/Center · Mayfield, KY

NPI number 1679061071 Active

Practice location

110 S 9th St
Mayfield, KY 42066-2208

Call (270) 247-7795 Map

Fax (270) 247-2602

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

Other rural health clinic/center providers in Mayfield

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About NPI 1679061071

Pinelake Physician Practice LLC's National Provider Identifier is 1679061071, issued on May 1, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mayfield, KY. The record was last updated on May 1, 2018.