Organization
HEALTH PETAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKITA MAE RAMSEY (OWNER)
(423) 736-2426
Entity
Organization
Contact information
Practice address
2370 QUINLAND LAKE RD STE 150, COOKEVILLE, TN 38506-7525
(615) 604-0531
Mailing address
2370 QUINLAND LAKE RD STE 150, COOKEVILLE, TN 38506-7525
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
04/13/2021
Last updated
05/05/2021
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