Audrey Karen Tolbert
Internal Medicine in Cookeville, TN. Organization (NPI-2).
NPI number1992824163
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1992824163
- Entity type
- Organization (NPI-2)
- Legal business name
- Audrey Karen Tolbert
- Organization subpart
- No
- Enumeration date
- Mar 28, 2007
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Imac (Other Name)
Practice location
345 W Broad StCookeville, TN 38501-2331
Phone 931-528-2300 · Fax 931-528-2305
Mailing address
345 W Broad StCookeville, TN 38501-2331
Phone 931-528-2300 · Fax 931-528-2305
Authorized official
Audrey Karen Tolbert
Owner
9315282300
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