# TENNESSEE PEDIATRIC & ADOLESCENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386933166
- **Authorized official:** DR. SATYA NARAYAN CHAKRABARTY MD (OWNER / PROVIDER)
- **Authorized official phone:** (931) 526-6100

## Contact information

- **Practice address:** 435 N CEDAR AVE, COOKEVILLE, TN 38501-5401
- **Practice address phone:** (931) 526-6100
- **Practice address fax:** (931) 526-6002
- **Mailing address:** 435 N CEDAR AVE, COOKEVILLE, TN 38501-5401
- **Mailing address phone:** (931) 526-6100
- **Mailing address fax:** (931) 526-6002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | MD28171 | TN | Yes |
| 173000000X | Legal Medicine | MD44069 | TN | — |
| 363L00000X | Nurse Practitioner | RN0000148368 | TN | — |
| 363LF0000X | Family Nurse Practitioner | APN15014 | TN | — |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 04/01/2011