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Organization
COOKVILLE PAIN CONSULTANTS OF PUTNAM COUNTY
Active
Organization
COOKVILLE PAIN CONSULTANTS OF PUTNAM COUNTY
Active
Other names
PAIN CONSULTANTS OF PUTNAM COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE D MARKS (BILLING MANAGER)
(931) 952-4910
Entity
Organization
Contact information
Practice address
580 S JEFFERSON AVE, COOKEVILLE, TN 38501-4010
(931) 526-7104
(931) 526-7105
Mailing address
P O BOX 4129, COOKEVILLE, TN 38502
(931) 526-7104
(931) 526-7105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
208VP0000X
Pain Medicine Physician
—
TN
Other
Enumeration date
05/01/2012
Last updated
05/22/2012
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