PINELAKE PHYSICIAN PRACTICE LLC
Family Medicine Physician · MAYFIELD, KY
Organization Active NPI 1912216532
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | — | — |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.