Organization
PINELAKE PHYSICIAN PRACTICE LLC
Active
Other names
Mayfield Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WEISS (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
1029 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1189
(270) 251-4547
(270) 251-4546
Mailing address
1029 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1189
(270) 251-4547
(270) 251-4546
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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