Organization
JACKSON PURCHASE CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE L DANIELS MD (PHYSICIAN/OWNER)
(270) 251-4545
Entity
Organization
Contact information
Practice address
1029 MEDICAL CENTER CIR, SUITE 200, MAYFIELD, KY 42066-1189
(270) 251-4545
(270) 251-4546
Mailing address
1029 MEDICAL CENTER CIR, SUITE 200, MAYFIELD, KY 42066-1189
(270) 251-4545
(270) 251-4546
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32841
KY
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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