| Cookville Pain Consultants Of Putnam County | |
|
580 S Jefferson Ave Cookeville TN 38501-4010 | |
| (931) 526-7104 | |
| (931) 526-7105 |
| Full Name | Cookville Pain Consultants Of Putnam County |
|---|---|
| Speciality | Family Medicine |
| Location | 580 S Jefferson Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Charlotte D Marks (BILLING MANAGER) |
| Authorized Official Contact | 9319524910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cookville Pain Consultants Of Putnam County P O Box 4129 Cookeville TN 38502 Ph: (931) 526-7104 | Cookville Pain Consultants Of Putnam County 580 S Jefferson Ave Cookeville TN 38501-4010 Ph: (931) 526-7104 |
| NPI Number | 1750649315 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750649315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (Tennessee) | Secondary |
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