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Organization
COOKEVILLE MEDICAL CENTER PC
Active
Organization
COOKEVILLE MEDICAL CENTER PC
Active
Other names
Cookeville Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSHPENDRA K JAIN M.D. (CEO)
(931) 528-8899
Entity
Organization
Contact information
Practice address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 528-8899
(866) 813-8531
Mailing address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 528-8899
(866) 813-8531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3709492
—
TN
Enumeration date
02/02/2007
Last updated
06/18/2024
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