Health Petal
General Practice in Cookeville, TN. Organization (NPI-2).
NPI number1326628389
StatusActive
Last updated in NPPESMay 5, 2021
Details
- NPI
- 1326628389
- Entity type
- Organization (NPI-2)
- Legal business name
- Health Petal
- Organization subpart
- No
- Enumeration date
- Apr 13, 2021
- Certification date
- May 5, 2021
- Last updated
- May 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QP3300X | Clinic/Center, Pain | – | – |
Practice location
2370 Quinland Lake Rd Ste 150Cookeville, TN 38506-7525
Phone 615-604-0531
Mailing address
2370 Quinland Lake Rd Ste 150Cookeville, TN 38506-7525
Authorized official
Lakita Mae Ramsey
Owner
4237362426
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