Cookeville Medical Center Pc

NPI 1013055912 - Family Medicine - 207Q00000X

NPI Details
NPI 1013055912
Enumeration Date 02/02/2007
Last Updated 06/13/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PUSHPENDRA K PUSHPENDRA
Position CEO
Phone (931) 528-8899
Fax (866) 813-8531
Practice Location
225 N WILLOW AVE
COOKEVILLE TN, 38501-2335, US
Phone (931) 528-8899
Fax (866) 813-8531
Business Location
225 N WILLOW AVE
COOKEVILLE TN, 38501-2335, US
Phone (931) 528-8899
Fax (866) 813-8531
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Cookeville Medical Center Pc NPI is 1013055912, taxonomy code is 207Q00000X Cookeville Medical Center Pc physically located at 225 N Willow Ave, Cookeville TN, 38501-2335. NPI Number 1033115704 has the healthcare provider type.

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1013055912 NPI number is provided on an as is basis without warranty of any kind. 1013055912 is maintained by the National Plan & Provider Enumeration System. The contents of Cookeville Medical Center Pc are for informational purposes only.