Individual
MICHAEL GOLDBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2770
(931) 525-1176
Mailing address
127 N OAK AVE STE D, COOKEVILLE, TN 38501-2435
(931) 783-5857
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
ARNP 9282649
FL
363L00000X
Nurse Practitioner
Primary
24799
TN
363LA2100X
Acute Care Nurse Practitioner
24799
TN
363LA2100X
Acute Care Nurse Practitioner
ARNP9282649
FL
Other
Enumeration date
04/03/2016
Last updated
12/27/2018
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