Organization · Type 2 NPI

Pinelake Physician Practice, LLC

Rural Health Clinic/Center · Mayfield, KY

NPI number 1841900347 Active

Practice location

1029 Medical Center Cir Ste 204
Mayfield, KY 42066-1189

Call (270) 251-4545 Map

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...

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About NPI 1841900347

Pinelake Physician Practice, LLC's National Provider Identifier is 1841900347, issued on Nov 25, 2022. 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 Nov 25, 2022.