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1447392527
VISWA B. DURVASULA
COOKEVILLE, TN
NPI
1447392527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TN MD0000020037)
Enumeration Date
2007-02-13
Last Update Date
2016-09-02
Business Address
-- VISWA B. DURVASULA M.D.
225 NORTH WILLOW AVENUE SUITE NUMBER 1
COOKEVILLE, TN 38501-2335
Phone number: 931-372-8700
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Mailing Address
-- VISWA B. DURVASULA M.D.
982 STONEBRIDGE CIR
COOKEVILLE, TN 38501-6027
Phone number: 615-902-7461
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