Organization
STONES RIVER PSYCHIATRY GROUP INC
Active
Organization
STONES RIVER PSYCHIATRY GROUP INC
Active
Other names
Middle Tennessee Psychiatry Group Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
VISWA BHARATHI DURVASULA M.D. (M.D.)
(931) 372-8700
Entity
Organization
Contact information
Practice address
225 N WILLOW AVE, STE. 1, COOKEVILLE, TN 38501-2335
(931) 372-8700
(931) 372-8717
Mailing address
225 N WILLOW AVE, STE. 1, COOKEVILLE, TN 38501-2335
(931) 372-8700
(931) 372-8717
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD20037
TN
Other
Enumeration date
11/18/2011
Last updated
04/24/2013
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