Log Mountain Family Healthcare LLC

NPI #1386156610 in Pineville, Kentucky

Provider Information

NPI Number
1386156610
Entity Type
Organization
Organization Name
Log Mountain Family Healthcare LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LOG MOUNTAIN FAMILY HEALTHCARE LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 26, 2017
Last Updated
Jun 16, 2018

Practice Location

Address
101 MOUNTAIN VIEW CMNS
ZIP Code
40977-8708
Phone
(606) 337-8887

Authorized Official

Name
TIFFENY JEAN TREECE
Title
OWNER
Phone
(606) 337-8887

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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