Cookville Pain Consultants Of Putnam County
Family Medicine in Cookeville, TN. Organization (NPI-2).
NPI number1750649315
StatusActive
Last updated in NPPESMay 22, 2012
Details
- NPI
- 1750649315
- Entity type
- Organization (NPI-2)
- Legal business name
- Cookville Pain Consultants Of Putnam County
- Organization subpart
- No
- Enumeration date
- May 1, 2012
- Last updated
- May 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | TN | Yes |
| 208VP0000X | – | TN |
Other names
- Pain Consultants Of Putnam County (Doing Business As)
Practice location
580 S Jefferson AveCookeville, TN 38501-4010
Phone 931-526-7104 · Fax 931-526-7105
Mailing address
P O Box 4129Cookeville, TN 38502
Phone 931-526-7104 · Fax 931-526-7105
Authorized official
Charlotte D Marks
Billing Manager
9319524910
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