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Organization

PUTNAM EMERGENCY PHYSICIANS, PLLC

Active
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Organization

PUTNAM EMERGENCY PHYSICIANS, 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 36484, BELFAST, ME 04915-1206
(770) 874-5400

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant

Other

Enumeration date
07/24/2023
Last updated
08/13/2026
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