Pinelake Physician Practice, LLC

NPI #1972738839 in Mayfield, Kentucky

Provider Information

NPI Number: 1972738839
Entity Type: Organization
Organization Name: Pinelake Physician Practice, LLC
Primary Specialty: Surgery
Enumeration Date: May 21, 2009
Last Updated: Oct 25, 2010

Practice Location

Address: 1111 MEDICAL CENTER CIR
City: Mayfield
State: Kentucky
ZIP Code: 42066-1194
Phone: (270) 251-4547

Authorized Official

Name: MR. THOMAS WEISS
Title: PRESIDENT
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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Whiteley Surgical Services	Surgery	Mayfield	AI Deep Dive
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Edward B Mcwhirt MD PC	Surgery	Mayfield	AI Deep Dive

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