TENNESSEE PEDIATRIC & ADOLESCENT CENTER

COOKEVILLE, TN
NPI1386933166
Entity TypeOrganization
Authorized ContactSATYA NARAYAN CHAKRABARTY
Owner / Provider
931-526-6100
Organization Subpart ?No
Primary Taxonomy173000000X Legal Medicine
(Licence: TN  MD28171)
Additional Taxonomies173000000X Legal Medicine
(Licence: TN  MD44069)
363L00000X Nurse Practitioner
(Licence: TN  RN0000148368)
363LF0000X Nurse Practitioner, Family
(Licence: TN  APN15014)
Enumeration Date2011-04-01
Last Update Date2011-04-01
Business Address
TENNESSEE PEDIATRIC & ADOLESCENT CENTER
435 N CEDAR AVE
COOKEVILLE, TN 38501-5401
Phone number: 931-526-6100
Mailing Address
TENNESSEE PEDIATRIC & ADOLESCENT CENTER
435 N CEDAR AVE
COOKEVILLE, TN 38501-5401
Phone number: 931-526-6100