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Organization
COOKEVILLE HOSPITALIST GROUP, PLLC
Active
Organization
COOKEVILLE HOSPITALIST GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5400
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 528-2541
Mailing address
PO BOX 36426, BELFAST, ME 04915-1206
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
NULL
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/25/2023
Last updated
08/13/2026
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