Dr TYRONE LEE DANIELS MD is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 1983 from University Of Iowa College Of Medicine.
PINELAKE PHYSICIAN PRACTICE LLC
1111 MEDICAL CTR CIR
MAYFIELD
KY
420661194
Tel: 2702514055
| Npi | 1043264393 |
| Pac Id | 4981517166 |
| Professional Enrollment Id | I20040608001374 |
| Last Name | DANIELS |
| First Name | TYRONE |
| Middle Name | LEE |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | PINELAKE PHYSICIAN PRACTICE LLC |
| Group Practice Pac Id | 6800797507 |
| Number Of Group Practice Members | 29 |
| Line 1 Street Address | 1111 MEDICAL CTR CIR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MAYFIELD |
| State | KY |
| Zip Code | 420661194 |
| Phone Number | 2702514055 |
| Hospital Affiliation Ccn 1 | 180116 |
| Hospital Affiliation Lbn 1 | JACKSON PURCHASE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 180104 |
| Hospital Affiliation Lbn 2 | BAPTIST HEALTH PADUCAH |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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