| NPI | 1568457851 |
|---|---|
| Doing Business As | COOKEVILLE FAMILY MEDICINE & URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | FREEDOM DAWN VIVIAN Owner 931-520-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN P0770) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2012-05-09 |