Organization
TENNESSEE PEDIATRIC & ADOLESCENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SATYA NARAYAN CHAKRABARTY MD (OWNER / PROVIDER)
(931) 526-6100
Entity
Organization
Contact information
Practice address
435 N CEDAR AVE, COOKEVILLE, TN 38501-5401
(931) 526-6100
(931) 526-6002
Mailing address
435 N CEDAR AVE, COOKEVILLE, TN 38501-5401
(931) 526-6100
(931) 526-6002
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MD28171
TN
173000000X
Legal Medicine
MD44069
TN
363L00000X
Nurse Practitioner
RN0000148368
TN
363LF0000X
Family Nurse Practitioner
APN15014
TN
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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