Individual
DR. AUDREY K TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
345 W BROAD ST, COOKEVILLE, TN 38501-2331
(931) 528-2300
(931) 528-2305
Mailing address
345 W BROAD ST, COOKEVILLE, TN 38501-2331
(931) 528-2300
(931) 528-2305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD31325
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3128973
BLUE CROSS BLUE SHIELD
TN
05
—
3838983
—
TN
Enumeration date
07/26/2005
Last updated
04/05/2010
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