| Stones River Psychiatry Group Inc | |
|
225 N Willow Ave Ste. 1 Cookeville TN 38501-2335 | |
| (931) 372-8700 | |
| (931) 372-8717 |
| Full Name | Stones River Psychiatry Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 225 N Willow Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Viswa Bharathi Durvasula (M.D.) |
| Authorized Official Contact | 9313728700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stones River Psychiatry Group Inc 225 N Willow Ave Ste. 1 Cookeville TN 38501-2335 Ph: (931) 372-8700 | Stones River Psychiatry Group Inc 225 N Willow Ave Ste. 1 Cookeville TN 38501-2335 Ph: (931) 372-8700 |
| NPI Number | 1265709208 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 04/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265709208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD20037 (Tennessee) | Primary |
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