| Cookeville Primary Care Associates, Pc | |
|
445 N Cedar Ave Cookeville TN 38501-2422 | |
| (931) 528-5787 | |
| (931) 528-5796 |
| Full Name | Cookeville Primary Care Associates, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 445 N Cedar Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Norma G Martin (MANAGER) |
| Authorized Official Contact | 9315285787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cookeville Primary Care Associates, Pc 445 N Cedar Ave Cookeville TN 38501-2422 Ph: (931) 528-5787 | Cookeville Primary Care Associates, Pc 445 N Cedar Ave Cookeville TN 38501-2422 Ph: (931) 528-5787 |
| NPI Number | 1669523130 |
|---|---|
| Provider Enumeration Date | 01/13/2007 |
| Last Update Date | 03/17/2008 |
| Medicare PECOS PAC ID | 6800078189 |
|---|---|
| Medicare Enrollment ID | O20110308000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669523130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1351 (Tennessee) | Primary |
| Provider Name | Harold A Chertok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891719274 PECOS PAC ID: 9032391313 Enrollment ID: I20110308000493 |
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