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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